Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | UP001362D | PA |
NPI | 1023159548 |
---|---|
Provider Name | Mrs. Donna S Duchene |
First Address | Pittsburgh, PA 15213-3205 |
Second Address | Pittsburgh, PA 15213-3205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 17/07/2007 |