Provider Demographics
NPI:1932175080
Name:BUZZARD, DONNA L (RN,CM)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:L
Last Name:BUZZARD
Suffix:
Gender:F
Credentials:RN,CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 FIONA LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-2209
Mailing Address - Country:US
Mailing Address - Phone:757-953-0495
Mailing Address - Fax:757-938-9519
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:HEALTHCARE QUALITY MANAGEMENT
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-0495
Practice Address - Fax:757-953-7478
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management