Provider Demographics
NPI:1386720373
Name:DONZE, CHRISTINA DAK-WAI (FNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:DAK-WAI
Last Name:DONZE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 B SOUTH PLATTE CLAY WAY
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060
Mailing Address - Country:US
Mailing Address - Phone:816-903-5373
Mailing Address - Fax:
Practice Address - Street 1:301 B SOUTH PLATTE CLAY WAY
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060
Practice Address - Country:US
Practice Address - Phone:816-781-4244
Practice Address - Fax:816-781-3542
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001021685363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MON23D654Medicare PIN
MOQ38242Medicare UPIN