OrganizationActive
Donna Jeanne Erisman
NPI 1992867212 · Prosthetic/Orthotic Supplier · Joplin, MO
Provider details
- NPI number
- 1992867212
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Donna Erisman, Owner(417) 624-4754
Specialties & taxonomies
Suppliers
Practice location
3420 Tana St
Joplin, MO 64804-5450
Phone: (417) 624-4754
Approximate (ZIP-level) locationGet directions
Mailing address
3420 Tana St
Joplin, MO 64804-5450
Other names (DBA / former)
- Doing business as
- New Life
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2020-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.