Individual
DONNA MCKIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
3225 RICH VALLEY RD, EMPORIUM, PA 15834
(814) 366-1139
Mailing address
3225 RICH VALLEY RD, EMPORIUM, PA 15834-4119
(814) 366-1139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN554317
PA
363LF0000X
Family Nurse Practitioner
Primary
NPPA033954
PA
Other
Enumeration date
06/18/2007
Last updated
01/15/2019
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