Basic Information
Provider Information
NPI: 1154796001
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CALVEY
FirstName: DONNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 701 EAST MARSHALL STREET
Address2:  
City: WEST CHESTER
State: PA
PostalCode: 19335
CountryCode: US
TelephoneNumber: 6107382709
FaxNumber:  
Practice Location
Address1: 701 E MARSHALL ST
Address2:  
City: WEST CHESTER
State: PA
PostalCode: 193804412
CountryCode: US
TelephoneNumber: 6107382580
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/03/2015
LastUpdateDate: 06/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XSP015688PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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