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NPI Code Detail

MEDICARE: DONNA L CONWAY RN, MS, CPNP

MEDICARE:   DONNA L CONWAY  RN, MS, CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner0024074372VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C05700OTHERVAGROUP PTAN
2C06115OTHERVAGROUP PTAN

General Provider Information

NPI Number : 1437356763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA L CONWAY RN, MS, CPNP
Provider Business Mailing Address
First Line : 9113 DICKEY DR
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-2502
Country : US
Telephone Number : 804-559-7280
Fax Number : 804-559-7282
Provider Business Practice Location Address
First Line : 9113 DICKEY DR
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-2502
Country : US
Telephone Number : 804-559-7280
Fax Number : 804-559-7282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 04/28/2011

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Directions to “ DONNA L CONWAY RN, MS, CPNP” Practice Location

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