Doctor Name: | MRS. DEBORAH ELIZABETH DONAT |
NPI Number: | 1467655225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 003528 |
Business Practice Address: | 88 Norwich New London Tpke Suite #2 Uncasville, CT - 063822518 |
Business Phone Number: | 8603670087 |
Business Fax Number: | 8603670117 |
Mailing Address: | 23 Stetson Rd, GRISWOLD |
State: | CT |
Postal Code: | 063518931 |
Phone Number: | 8603763216 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 02/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 003528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |