Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP1458702 | FL |
NPI | 1033123104 |
---|---|
Provider Name | Donna J Bixler |
First Address | Tallahassee, FL 32308-4646 |
Second Address | Tallahassee, FL 32308-4646 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 17/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S57310 | (02) | FL |