Individual
DONNA KATHLEEN VAHOVIUS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
510 HEMPSTEAD TPKE RM 203, WEST HEMPSTEAD, NY 11552-1152
(516) 559-4041
(949) 419-3482
Mailing address
510 HEMPSTEAD TPKE RM 203, WEST HEMPSTEAD, NY 11552-1152
(516) 559-4041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-095501
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1074084
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11019734
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404263-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074084
LICENSE
TX
01
—
APRN11019734
LICENSE
FL
01
—
F404263-01
LICENSE
NY
Enumeration date
02/18/2013
Last updated
03/07/2024
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