Provider Demographics
NPI:1689800625
Name:DONAHOE-ROMERO, PATRICIA MARY (BSN, RN, PHN, CDE)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARY
Last Name:DONAHOE-ROMERO
Suffix:
Gender:F
Credentials:BSN, RN, PHN, CDE
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:MARY
Other - Last Name:DONAHOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN, PHN
Mailing Address - Street 1:21391 VINTAGE WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-5827
Mailing Address - Country:US
Mailing Address - Phone:949-395-0205
Mailing Address - Fax:949-586-1042
Practice Address - Street 1:7 TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2302
Practice Address - Country:US
Practice Address - Phone:949-923-3200
Practice Address - Fax:949-923-3595
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA349497163WD0400X, 163WH0200X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical