Provider Demographics
NPI:1790836682
Name:ZAKEN, DONNA (NP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:ZAKEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WICKFORD CT
Mailing Address - Street 2:
Mailing Address - City:N KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5537
Mailing Address - Country:US
Mailing Address - Phone:401-474-0238
Mailing Address - Fax:727-604-7656
Practice Address - Street 1:200 WICKFORD CT
Practice Address - Street 2:
Practice Address - City:N KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-5537
Practice Address - Country:US
Practice Address - Phone:401-474-0238
Practice Address - Fax:727-604-7656
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304134363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health