Provider Demographics
NPI:1588626295
Name:FELKINS-DOHM, DONNA L (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:FELKINS-DOHM
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 1:5616 N BRONCO LN
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-5855
Mailing Address - Country:US
Mailing Address - Phone:352-232-1742
Mailing Address - Fax:
Practice Address - Street 1:475 CENTRAL AVE # 300B
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3859
Practice Address - Country:US
Practice Address - Phone:727-626-2067
Practice Address - Fax:727-380-6287
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN1440992364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY6085Medicare ID - Type Unspecified