Provider Demographics
NPI:1083185888
Name:DONALDSON, AUDEANNE D (PHD)
Entity Type:Individual
Prefix:
First Name:AUDEANNE
Middle Name:D
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 S OCEAN BLVD STE 226
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-5590
Mailing Address - Country:US
Mailing Address - Phone:561-906-9566
Mailing Address - Fax:561-868-8837
Practice Address - Street 1:2875 S OCEAN BLVD STE 226
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-5590
Practice Address - Country:US
Practice Address - Phone:561-906-9566
Practice Address - Fax:561-868-8837
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2755482163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator