Healthcare Provider Details

I. General information

NPI: 1003373838
Provider Name (Legal Business Name): DONNA OHDE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3370 S TEXAS AVE
BRYAN TX
77802-3127
US

IV. Provider business mailing address

1500 UNIVERSITY DR E STE 100
COLLEGE STATION TX
77840-2600
US

V. Phone/Fax

Practice location:
  • Phone: 979-595-1700
  • Fax:
Mailing address:
  • Phone: 979-383-2340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number57082
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP140380
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: