MEDICARE: DONAS MARIE USINA APRN, AGNP-C

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	363LG0600X	Gerontology Nurse Practitioner	11009668	FL

General Provider Information

NPI Number	:	1992304133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONAS MARIE USINA APRN, AGNP-C

Provider Business Mailing Address
First Line	:	865 GULF LAND DR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-4847
Country	:	US
Telephone Number	:	407-595-7002
Fax Number	:

Provider Business Practice Location Address
First Line	:	1052 W SR 436 STE 1072
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2939
Country	:	US
Telephone Number	:	321-972-6159
Fax Number	:	321-326-1524

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

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	12/04/2024

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