Provider Demographics
NPI:1467792333
Name:OSWANDEL, DONNA M (CRNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:OSWANDEL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:ZEIDERS
Other - Last Name:OSWANDEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:MAIL CODE CA410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0858
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:
Practice Address - Street 1:35 HOPE DRIVE
Practice Address - Street 2:SUITES 202/ 204
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2086
Practice Address - Country:US
Practice Address - Phone:800-243-1455
Practice Address - Fax:717-531-4375
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN512229L163W00000X
PASP012837363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102896849Medicaid
PA320702Medicare PIN