Provider Demographics
NPI:1205855269
Name:WHYTE, DONNA M (FNP-C)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:WHYTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:WHYTE-ENGLISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:103 MYRON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1598
Mailing Address - Country:US
Mailing Address - Phone:413-592-1980
Mailing Address - Fax:
Practice Address - Street 1:103 MYRON ST
Practice Address - Street 2:SUITE A
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1598
Practice Address - Country:US
Practice Address - Phone:413-592-1980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP00192055OtherRAIL ROAD MEDICARE
MANP3001Medicare ID - Type Unspecified
MAP22357Medicare UPIN
MAUX3964Medicare PIN