Doctor Name: | MRS. NANCY MCDONALD |
NPI Number: | 1063783744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP, NP-C |
License Number: | 1-062972 |
Business Practice Address: | 2000 Pepperell Pkwy Opelika, AL - 368015452 |
Business Phone Number: | 3345287200 |
Business Fax Number: | 3345283470 |
Mailing Address: | 2000 Pepperell Pkwy, OPELIKA |
State: | AL |
Postal Code: | 368015452 |
Phone Number: | 3345287200 |
Fax Number: | 3345283470 |
NPI Enumeration Date: | 01/26/2012 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 1-062972 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |