Provider Demographics
NPI:1124433313
Name:WESTMORELAND, DONNA SUE (APRN, FNP-BC, ACHPN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:SUE
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:APRN, FNP-BC, ACHPN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:WESTMORELAND
Other - Last Name:POMAVILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-BC, ACHPN
Mailing Address - Street 1:5864 LARKINS DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3877
Mailing Address - Country:US
Mailing Address - Phone:248-808-0778
Mailing Address - Fax:
Practice Address - Street 1:16001 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4818
Practice Address - Country:US
Practice Address - Phone:248-849-2265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704221204363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily