Individual
DONNA LYNN FABRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
7741 BINGHAM CT, TAMPA, FL 33625-2417
(813) 892-9773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2895722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305354700
—
FL
01
—
Y021Y
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/09/2006
Last updated
04/04/2016
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