Healthcare Provider Details

I. General information

NPI: 1174663272
Provider Name (Legal Business Name): DONNA M WESTERMANN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA W MARKEY NP

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 MEDICAL CENTER DR
FISHERSVILLE VA
22939-2332
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-245-7102
  • Fax: 540-332-5962
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number008125U92
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024113863
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: