Provider Demographics
NPI:1750508487
Name:DONOFRIO, DEBORAH C (RN)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:C
Last Name:DONOFRIO
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 1:1025 N COUNTRY CLUB
Mailing Address - Street 2:MESA PUBLIC SCHOOLS STUDENT SERVICES
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201
Mailing Address - Country:US
Mailing Address - Phone:480-472-0562
Mailing Address - Fax:480-472-0796
Practice Address - Street 1:1025 N COUNTRY CLUB
Practice Address - Street 2:MESA PUBLIC SCHOOLS STUDENT SERVICES
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201
Practice Address - Country:US
Practice Address - Phone:480-472-0562
Practice Address - Fax:480-472-0796
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN 079126163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool