Provider Demographics
NPI:1366650764
Name:DOXSEY-MCGREW, DONNA MARIE (APRN-BC FNP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIE
Last Name:DOXSEY-MCGREW
Suffix:
Gender:F
Credentials:APRN-BC FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LYNMOOR ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7023
Mailing Address - Country:US
Mailing Address - Phone:203-877-2545
Mailing Address - Fax:
Practice Address - Street 1:752 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06608-2335
Practice Address - Country:US
Practice Address - Phone:239-576-7468
Practice Address - Fax:203-576-7469
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily