Provider Demographics
NPI:1790179356
Name:VAGNONI, DONNA CHRISTIE (CRNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:CHRISTIE
Last Name:VAGNONI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 ALLAN LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5803
Mailing Address - Country:US
Mailing Address - Phone:610-692-3772
Mailing Address - Fax:
Practice Address - Street 1:1406 ALLAN LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5803
Practice Address - Country:US
Practice Address - Phone:610-692-3772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-22
Last Update Date:2015-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP004099C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health