Provider Demographics
NPI:1730103581
Name:BARR, DONNA M (RNP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:BARR
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 41ST AVE
Mailing Address - Street 2:SUITE #102
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-3906
Mailing Address - Country:US
Mailing Address - Phone:831-464-5518
Mailing Address - Fax:
Practice Address - Street 1:1350 41ST AVE
Practice Address - Street 2:SUITE #102
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-3906
Practice Address - Country:US
Practice Address - Phone:831-464-5518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA386031363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner