Individual
DONNA CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2134 DOUGLAS AVE, BREWTON, AL 36426-1155
(251) 236-4026
Mailing address
29995 WAYSIDE DR, SPANISH FORT, AL 36527-5328
(251) 284-1246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11003072
FL
Other
Enumeration date
07/03/2019
Last updated
12/23/2020
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