Individual
HEATHER D DONAGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 401, AUSTIN, TX 78723-3077
(512) 628-1900
(512) 628-1901
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1900
(512) 628-1901
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
707475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304639301
—
TX
Enumeration date
12/07/2010
Last updated
04/05/2013
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