MEDICARE: MRS. LUPE DONNELLY NP

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
1	363LF0000X	Family Nurse Practitioner	95033237	CA

General Provider Information

NPI Number	:	1750234688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LUPE DONNELLY NP

Provider Business Mailing Address
First Line	:	32672 JUNIPER BERRY DR
Second Line	:
City	:	WINCHESTER
State	:	CA
Zip	:	92596-8658
Country	:	US
Telephone Number	:	951-306-9678
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 MCCULLOCH BLVD N STE 102A
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-0003
Country	:	US
Telephone Number	:	951-404-4458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

Similar Medicare Providers

1629682133 — PAULA CAROL PALMER
Practice Location Address:

3857 SW BIRLEY AVE
LAKE CITY, FL
32024-0003

Practice Phone: 386-365-5682
Practice Fax:

1396131389 — SANTIAM MEMORIAL HOSPITAL
Practice Location Address:

280 S 1ST AVE
MILL CITY, OR
97360-0003

Practice Phone: 503-897-4100
Practice Fax: 503-897-2673

1891368866 — MS. SHAQUITA ROLAND PTA
Practice Location Address:

755 MEDICAL CENTER DRIVE , SUITE 2307
TEXAS CITY, TX
77591-0003

Practice Phone: 409-795-1591
Practice Fax:

1114906484 — DR. GEORGE ANDREW GONZALEZ D.M.D.
Practice Location Address:

9600 VETERANS DR SW , AMERICAN LAKE VAMC (A-112-DENT)
TACOMA, WA
98493-0003

Practice Phone: 253-589-4005
Practice Fax:

1639534076 — BRITTANI COBB
Practice Location Address:

17904 W LAKE HOUSTON PKWY
ATASCOCITA, TX
77346-0003

Practice Phone: 281-982-1313
Practice Fax:

1316944846 — RIVER MEDICAL INC
Practice Location Address:

415 EL CAMINO WAY
LAKE HAVASU CITY, AZ
86403-4628

Practice Phone: 928-855-0048
Practice Fax: 928-855-5419

Directions to “ MRS. LUPE DONNELLY NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.