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Provider Information for 1922317882


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Mrs. NATHALIE CHRISTINE DONNY MA


Sex: Female

NPI: 1922317882
Last Updated: 2020-10-23
Certification Date: 2020-10-23

Details

NameValue
NPI1922317882
Enumeration Date2010-09-27
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 13226 SKIING PARADISE BLVD
CLERMONT, FL 34711-8474
United States

Phone: 352-999-2556 | Fax:
 
Primary Practice Address 210 N HIGHWAY 27 STE 1
CLERMONT, FL 34711-2411
United States

Phone: 352-573-5232 | Fax:
 
Secondary Practice Address(es)

1801 NE 123RD ST STE 415
NORTH MIAMI, FL 33181-2885
United States

Phone: 352-573-5232 | Fax:
 

1801 NE 123RD ST STE 415
NORTH MIAMI, FL 33181-2885
United States

Phone: 352-573-5232 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH 11146