Provider Demographics
NPI:1568690451
Name:BROCK, DONNA TODD (NP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:TODD
Last Name:BROCK
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:98 DOCTORS DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-4501
Mailing Address - Country:US
Mailing Address - Phone:828-586-9642
Mailing Address - Fax:828-586-9673
Practice Address - Street 1:98 HOSPITAL DRIVE
Practice Address - Street 2:SUITE300
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5195
Practice Address - Country:US
Practice Address - Phone:828-586-9642
Practice Address - Fax:828-586-9673
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2012-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC300058363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner