| Doctor Name: | DONNA FORD |
| NPI Number: | 1609064054 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 003681 |
| Business Practice Address: | 1 Lake St New Britain, CT - 060521396 |
| Business Phone Number: | 8603484242 |
| Business Fax Number: | 8603484646 |
| Mailing Address: | 300 Kensington Ave, NEW BRITAIN |
| State: | CT |
| Postal Code: | 060513916 |
| Phone Number: | 8602246200 |
| Fax Number: | 8602246260 |
| NPI Enumeration Date: | 10/11/2007 |
| NPI Last Update Date: | 05/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 003681 |
| 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: | |