Provider Demographics
NPI:1043379217
Name:RUSH-NEWMAN, DONNA ROBBIN (APRN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:ROBBIN
Last Name:RUSH-NEWMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:ROBBIN
Other - Last Name:RUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:6980 LONG LEAF DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3946
Mailing Address - Country:US
Mailing Address - Phone:305-335-0583
Mailing Address - Fax:561-450-5230
Practice Address - Street 1:6980 LONG LEAF DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-3946
Practice Address - Country:US
Practice Address - Phone:305-335-0583
Practice Address - Fax:561-450-5230
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1165752364SP0807X, 364SP0808X
FL1165752363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000614500Medicaid
FL1165752OtherLICENSE NUMBER
FL1165752OtherLICENSE NUMBER