Provider Demographics
NPI:1467655225
Name:DONAT, DEBORAH ELIZABETH (APRN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ELIZABETH
Last Name:DONAT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23 STETSON RD
Mailing Address - Street 2:
Mailing Address - City:GRISWOLD
Mailing Address - State:CT
Mailing Address - Zip Code:06351-8931
Mailing Address - Country:US
Mailing Address - Phone:860-376-3216
Mailing Address - Fax:
Practice Address - Street 1:88 NORWICH NEW LONDON TPKE
Practice Address - Street 2:SUITE #2
Practice Address - City:UNCASVILLE
Practice Address - State:CT
Practice Address - Zip Code:06382-2518
Practice Address - Country:US
Practice Address - Phone:860-367-0087
Practice Address - Fax:860-367-0117
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003528363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT003528OtherLICENSE