Provider Demographics
NPI:1194827444
Name:LEVITT, DONNA ANN (PHD, APN)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:ANN
Last Name:LEVITT
Suffix:
Gender:F
Credentials:PHD, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 FOREST PINES RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-1006
Mailing Address - Country:US
Mailing Address - Phone:803-648-8154
Mailing Address - Fax:
Practice Address - Street 1:372 FOREST PINES RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-1006
Practice Address - Country:US
Practice Address - Phone:803-648-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN178125NP363LF0000X
SC2757363LF0000X
PATP005702B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily