Provider Demographics
NPI:1245227099
Name:DOBSON-TOBIN, DONNA RAE (NP, APRN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:RAE
Last Name:DOBSON-TOBIN
Suffix:
Gender:F
Credentials:NP, APRN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:RAE
Other - Last Name:DOBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 30374
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-0374
Mailing Address - Country:US
Mailing Address - Phone:406-248-3175
Mailing Address - Fax:406-248-3821
Practice Address - Street 1:3251 W 9TH ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5310
Practice Address - Country:US
Practice Address - Phone:319-234-2893
Practice Address - Fax:319-234-0354
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT17912363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health