Provider Demographics
NPI:1215168489
Name:PETERS, DONNA GAY (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:GAY
Last Name:PETERS
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7145 N GEORGE BUSH HWY
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2988
Mailing Address - Country:US
Mailing Address - Phone:972-530-1900
Mailing Address - Fax:
Practice Address - Street 1:7145 N GEORGE BUSH HWY
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2988
Practice Address - Country:US
Practice Address - Phone:972-530-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP108831363LF0000X
TX637859163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse