Provider Demographics
NPI:1841648722
Name:FERREIRA, DONNA C (ANP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:C
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 LOWELL ST.
Mailing Address - Street 2:HEALTH CENTER RAYTHEON
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-4496
Mailing Address - Country:US
Mailing Address - Phone:978-470-5641
Mailing Address - Fax:978-470-6272
Practice Address - Street 1:350 LOWELL STREET
Practice Address - Street 2:HEALTH CENTER RAYTHEON
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-4496
Practice Address - Country:US
Practice Address - Phone:978-470-5641
Practice Address - Fax:978-470-6272
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156256171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor