Provider Demographics
NPI:1154675866
Name:DONZE, KIMBERLY SUE-HICKS (RN/NP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:SUE-HICKS
Last Name:DONZE
Suffix:
Gender:F
Credentials:RN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-0040
Mailing Address - Country:US
Mailing Address - Phone:508-909-7799
Mailing Address - Fax:
Practice Address - Street 1:304 E SAUNDERS ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-9343
Practice Address - Country:US
Practice Address - Phone:109-473-0009
Practice Address - Fax:910-947-3035
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN261013363LF0000X
NC5011848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily