Provider Demographics
NPI:1548220767
Name:CARON, DONNA C (ARNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:C
Last Name:CARON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3677
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-3677
Mailing Address - Country:US
Mailing Address - Phone:603-577-7900
Mailing Address - Fax:603-577-7972
Practice Address - Street 1:280 MAIN ST
Practice Address - Street 2:SUITE 131
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2921
Practice Address - Country:US
Practice Address - Phone:603-577-5353
Practice Address - Fax:603-577-5354
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH024851-23363LP0808X, 363LW0102X
NH024851-23-04363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3075016Medicaid
NH509518OtherVALUE OPTIONS
NH2179170OtherCIGNA BEHAVIORAL HEALTH
NH40Y001645NH01OtherBEHAVIORAL HEALTH NETWORK
NH40Y001645NH01OtherBEHAVIORAL HEALTH NETWORK
NHNP0201Medicare ID - Type Unspecified
NH043775640OtherHCVM/FIRST HEALTH
NH383651OtherMVP HEALTH CARE
NHS32337Medicare UPIN
NV146391OtherHEALTHSOURCE
NH2179170OtherCIGNA BEHAVIORAL HEALTH
NH30001292Medicaid
NHS32337OtherHARVARD PILGRIM