Provider Demographics
NPI:1891845699
Name:STURGIS, DONITA MARIE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DONITA
Middle Name:MARIE
Last Name:STURGIS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:DONITA
Other - Middle Name:MARIE
Other - Last Name:SHAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:328 S HERTZLER RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-9094
Mailing Address - Country:US
Mailing Address - Phone:717-361-7455
Mailing Address - Fax:
Practice Address - Street 1:4748 E HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-9004
Practice Address - Country:US
Practice Address - Phone:717-367-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN328731L363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily