Provider Demographics
NPI:1083671598
Name:VINAL, DONNA FREDE (CNM PHD)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:FREDE
Last Name:VINAL
Suffix:
Gender:F
Credentials:CNM PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PETER JEFFERSON PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8835
Mailing Address - Country:US
Mailing Address - Phone:434-293-9800
Mailing Address - Fax:434-977-0088
Practice Address - Street 1:600 PETER JEFFERSON PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8835
Practice Address - Country:US
Practice Address - Phone:434-293-9800
Practice Address - Fax:434-977-0088
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2013-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA0001096715163W00000X
VAVA0017000483176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse