Provider Demographics
NPI:1831451194
Name:LEONE, DONNA ANN (CRNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:ANN
Last Name:LEONE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:ANN
Other - Last Name:PUMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:5675 N FRONT ST STE 141
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2719
Mailing Address - Country:US
Mailing Address - Phone:267-428-6575
Mailing Address - Fax:267-262-6265
Practice Address - Street 1:5675 N FRONT ST STE 141
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-2719
Practice Address - Country:US
Practice Address - Phone:267-428-6575
Practice Address - Fax:267-262-6265
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012090363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care