| Organization Name: | DONNA CIVARDI RNFA, APRN, FNP-BC, LLC |
| NPI Number: | 1043520604 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA M CIVARDI (OWNER) |
| Mailing Address: | 18 Oneco St Suite 2 Norwich |
| State: | CT US |
| Postal Code: | 063603440 |
| Phone Number: | 8603832024 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2010 |
| NPI Last Update Date: | 10/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 004438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |