Healthcare Provider Details

I. General information

NPI: 1679480685
Provider Name (Legal Business Name): DONNA MARIE NAGY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 MADELINE DR
EDINBORO PA
16412-2765
US

IV. Provider business mailing address

103 MADELINE DR
EDINBORO PA
16412-2765
US

V. Phone/Fax

Practice location:
  • Phone: 401-300-8434
  • Fax:
Mailing address:
  • Phone: 401-300-8434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN655746
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: