Provider Demographics
NPI:1023262128
Name:WARD, DONNA (MSN, CRNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:CUSANO
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 PHEASANT RUN STE 128
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3428
Mailing Address - Country:US
Mailing Address - Phone:215-860-3344
Mailing Address - Fax:215-860-3348
Practice Address - Street 1:104 PHEASANT RUN STE 128
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-3428
Practice Address - Country:US
Practice Address - Phone:215-860-3344
Practice Address - Fax:215-860-3348
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-305248-L163W00000X
PASP-003819-C363LA2200X
NJ26NJ00906000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse