Individual
MS. DORENE KAY DONAYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4019 WESTERLY PL, SUITE 100, NEWPORT BEACH, CA 92660-2317
(949) 266-3700
(949) 266-3750
Mailing address
2820 BAYWATER AVE, SAN PEDRO, CA 90731-6673
(310) 612-0041
(949) 266-3750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
346273
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP 12557
CA
Other
Enumeration date
01/08/2007
Last updated
09/04/2008
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