Provider Demographics
NPI:1609858489
Name:GREGORIC, DONNA D (RN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:D
Last Name:GREGORIC
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 24TH AVE N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1520
Mailing Address - Country:US
Mailing Address - Phone:615-321-9556
Mailing Address - Fax:615-321-9544
Practice Address - Street 1:345 24TH AVE N
Practice Address - Street 2:SUITE 103
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1520
Practice Address - Country:US
Practice Address - Phone:615-321-9556
Practice Address - Fax:615-321-9544
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000050630163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse