Doctor Name: | DONNA MICHELLE PLOURD |
NPI Number: | 1467425587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP10539 |
Business Practice Address: | 949 Palm Ave Imperial Beach, CA - 919321503 |
Business Phone Number: | 6194293733 |
Business Fax Number: | |
Mailing Address: | Po Box 459, IMPERIAL BEACH |
State: | CA |
Postal Code: | 919330459 |
Phone Number: | 6194293733 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP10539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |