Provider Demographics
NPI:1316928013
Name:GENSHEIMER, DONNA J (FNP)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:J
Last Name:GENSHEIMER
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:90 LIBBEY PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3129
Mailing Address - Country:US
Mailing Address - Phone:781-335-9700
Mailing Address - Fax:781-335-9709
Practice Address - Street 1:90 LIBBEY PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3129
Practice Address - Country:US
Practice Address - Phone:781-335-9700
Practice Address - Fax:781-335-9709
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2008-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA210267363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0340821Medicaid
MANP2335OtherBCBS
MANP2335OtherBCBS