Healthcare Provider Details

I. General information

NPI: 1134159221
Provider Name (Legal Business Name): DONNA G MCGHEE RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 WRIGHTS ST
HOT SPRINGS AR
71913-6240
US

IV. Provider business mailing address

115 WRIGHTS ST
HOT SPRINGS AR
71913-6240
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-9803
  • Fax: 501-321-0710
Mailing address:
  • Phone: 501-321-9803
  • Fax: 501-321-0710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License NumberP001089
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: