Provider Demographics
NPI:1245854926
Name:DONIN, EVAN LEWIS (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:EVAN
Middle Name:LEWIS
Last Name:DONIN
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2301 STIRLING CIR UNIT 311
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-7056
Mailing Address - Country:US
Mailing Address - Phone:516-331-1353
Mailing Address - Fax:
Practice Address - Street 1:389 5TH AVE RM 402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3357
Practice Address - Country:US
Practice Address - Phone:917-675-7441
Practice Address - Fax:917-675-7449
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY404098363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health