Provider Demographics
NPI:1083998082
Name:MCAFEE, DONNA
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5749 LOWER MACUNGIE ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST TEXAS
Mailing Address - State:PA
Mailing Address - Zip Code:18046-0011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5749 LOWER MACUNGIE ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:EAST TEXAS
Practice Address - State:PA
Practice Address - Zip Code:18046-0011
Practice Address - Country:US
Practice Address - Phone:707-477-5624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN282774L163W00000X
PAVP006015B363LF0000X
CA12694363LF0000X
NYF337883-1363LF0000X
VA0024171676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse