Individual
DONNA L MENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 HIGH STREET, WILLIAMPSORT, PA 17701-3198
(570) 321-3580
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(888) 647-9600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP021172
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP021172
PA
Other
Enumeration date
11/20/2019
Last updated
10/28/2022
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