Healthcare Provider Details

I. General information

NPI: 1942473632
Provider Name (Legal Business Name): DONNA MARIE ADKINS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 01/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MERIDIAN CENTRE BLVD
ROCHESTER NY
14618-3981
US

IV. Provider business mailing address

300 MERIDIAN CENTRE BLVD STE 200
ROCHESTER NY
14618-3984
US

V. Phone/Fax

Practice location:
  • Phone: 186-635-2235
  • Fax: 158-546-3105
Mailing address:
  • Phone: 186-635-2235
  • Fax: 158-546-3105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number306616
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: