Individual
DONNA L CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP
Contact information
Practice address
9113 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 559-7280
(804) 559-7282
Mailing address
9113 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 559-7280
(804) 559-7282
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024074372
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05700
GROUP PTAN
VA
01
—
C06115
GROUP PTAN
VA
Enumeration date
06/29/2007
Last updated
04/28/2011
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