Provider Demographics
NPI:1346086865
Name:MCDONALD, NINA (FNP-C)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 POPLAR LN UPPR LEVEL
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8969
Mailing Address - Country:US
Mailing Address - Phone:724-439-4800
Mailing Address - Fax:
Practice Address - Street 1:30 POPLAR LN
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8969
Practice Address - Country:US
Practice Address - Phone:724-439-4800
Practice Address - Fax:724-430-8967
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP030022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily