Mary Donadini, ARNP
Individual provider Active NPI Family Nurse Practitioner · Malabar, FL
NPI 1366470007 · NPPES record last updated Aug 23, 2010
Key facts
- NPI
- 1366470007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP1508952 (FL)
- Practice address
- 730 Malabar Rd
Malabar, FL 32950-3140 - Phone
- (321) 725-4500
- Fax
- (321) 951-7408
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Cardiac Rehab Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP1508952 | FL | Yes |
Addresses
Primary practice location
730 Malabar Rd
Malabar, FL 32950-3140
Mailing address
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306611800 | Medicaid | FL |
Other providers in Malabar, FL
- Evan James Cataldo
- Lynn Maria Chacko
- Kamil T Cieply
- Alejandro Cirilo
- Allen R Condo
- Mark Dorman
- Melissa Ann Ellis
- Rachael Eliana Garcia
- Charlene D Gilbert
- Courtland Gross
All providers in Malabar, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.