Provider Demographics
NPI:1659190049
Name:DONER, TERRIANNE KAY (FNP-C)
Entity type:Individual
Prefix:
First Name:TERRIANNE
Middle Name:KAY
Last Name:DONER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 S 165TH DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-4585
Mailing Address - Country:US
Mailing Address - Phone:480-743-8880
Mailing Address - Fax:
Practice Address - Street 1:2815 S ALMA SCHOOL RD STE 112-113
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-4031
Practice Address - Country:US
Practice Address - Phone:480-795-8577
Practice Address - Fax:877-501-2248
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ315092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily