Provider Demographics
NPI:1477555118
Name:WHITE, DONNA REESMAN (CRNP, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:REESMAN
Last Name:WHITE
Suffix:
Gender:F
Credentials:CRNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 BURKES DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3479
Mailing Address - Country:US
Mailing Address - Phone:412-735-3295
Mailing Address - Fax:412-202-2927
Practice Address - Street 1:112 W STEUBEN ST
Practice Address - Street 2:
Practice Address - City:CRAFTON
Practice Address - State:PA
Practice Address - Zip Code:15205-2604
Practice Address - Country:US
Practice Address - Phone:866-825-3227
Practice Address - Fax:412-202-2927
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP003061B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA005600OtherCRNP PRESCRIPTIVE AUTHORITY
PASP003061BOtherCRNP-FAMILY HEALTH
PARN275918LOtherLICENSE - RN - COMMONWEALTH OF PENNSYLVANIA
PA01765287Medicaid
PAS86022Medicare UPIN
PA01765287Medicaid