| Doctor Name: | MRS. DONNA DREW MCBROOM |
| NPI Number: | 1609061514 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN033526 |
| Business Practice Address: | 650 E. Center Street Chino Valley, AZ - 86323 |
| Business Phone Number: | 9286363845 |
| Business Fax Number: | 9286360267 |
| Mailing Address: | Po Box 225, CHINO VALLEY |
| State: | AZ |
| Postal Code: | 863230225 |
| Phone Number: | 9286363845 |
| Fax Number: | 9286360267 |
| NPI Enumeration Date: | 09/13/2007 |
| NPI Last Update Date: | 09/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN033526 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |