Provider Demographics
NPI:1538331012
Name:HARTFIELD, DONNA HARRY (FNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:HARRY
Last Name:HARTFIELD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:HARRY
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 REALTOR AVE
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-1020
Mailing Address - Country:US
Mailing Address - Phone:870-779-2723
Mailing Address - Fax:870-216-2583
Practice Address - Street 1:910 REALTOR AVE
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-1020
Practice Address - Country:US
Practice Address - Phone:870-779-2723
Practice Address - Fax:870-216-2583
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX793103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily