Doctor Name: | DONNA JEAN O'HARA |
NPI Number: | 1710186267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2152202 |
Business Practice Address: | 1638 Leesburg Blvd Fruitland Park, FL - 347315215 |
Business Phone Number: | 3523264269 |
Business Fax Number: | 3523269266 |
Mailing Address: | 1638 Leesburg Blvd, FRUITLAND PARK |
State: | FL |
Postal Code: | 347315215 |
Phone Number: | 3523264269 |
Fax Number: | 3523269266 |
NPI Enumeration Date: | 07/15/2007 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | ARNP2152202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |