Provider Demographics
NPI:1760082366
Name:REMMES, DONNA JOSEPHINE (AGNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JOSEPHINE
Last Name:REMMES
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:J
Other - Last Name:REMMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AGNP
Mailing Address - Street 1:313 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-2405
Mailing Address - Country:US
Mailing Address - Phone:508-577-8234
Mailing Address - Fax:
Practice Address - Street 1:313 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-2405
Practice Address - Country:US
Practice Address - Phone:508-577-8234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty