Provider Demographics
NPI:1467792333
Name:OSWANDEL, DONNA M (CNM)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:OSWANDEL
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:ZEIDERS
Other - Last Name:OSWANDEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:603 7TH ST S STE 300
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4734
Practice Address - Country:US
Practice Address - Phone:727-954-7121
Practice Address - Fax:888-720-4729
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN512229L163W00000X
PASP012837363L00000X
FLAPRN9327233367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102896849Medicaid
PA320702Medicare PIN