Provider Demographics
NPI:1992304133
Name:USINA, DONAS MARIE (APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:DONAS
Middle Name:MARIE
Last Name:USINA
Suffix:
Gender:F
Credentials:APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 GULF LAND DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-4847
Mailing Address - Country:US
Mailing Address - Phone:407-595-7002
Mailing Address - Fax:
Practice Address - Street 1:1052 W SR 436 STE 1072
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2939
Practice Address - Country:US
Practice Address - Phone:321-972-6159
Practice Address - Fax:321-326-1524
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009668363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology