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MRS. DONNA ANTONIA THEODORE PA-C
NPI 1366470791
Physician Assistant - Medical in Raleigh, NC

Active since June 28, 2006
3604 BUSH ST, RALEIGH, NC 27609(919) 876-7807(919) 876-8823 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Donna Antonia Theodore Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DONNA ANTONIA THEODORE PA-C (NPI 1366470791) is an individual medical provider in Raleigh, North Carolina, licensed in North Carolina (104147) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366470791
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. DONNA ANTONIA THEODORECredential: PA-C
Location Address3604 BUSH STRaleigh, NC 27609-7511
Mailing Address3604 Bush StRaleigh, NC 27609-7511 · (919) 876-7807 · Fax (919) 876-8823
Phone(919) 876-7807
Fax(919) 876-8823
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366470791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 104147
3604 BUSH ST, Raleigh, NC 27609
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH KEITH KEENER M.D.
Specialist
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Wake County (919) 876-7807
MS. DEBORAH B BERG RD, LDN
Dietitian, Registered (Nutrition, Renal)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
DR. MICHAEL MONAHAN M.D.
Internal Medicine (Nephrology)
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Wake County (919) 876-7807
NANCI JACQULYN SULLIVAN-BLACKERT RN, MSN, CDE, NP-C
Nurse Practitioner (Family)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
LORI MICHELLE HASKINS NP-C
Nurse Practitioner
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7501
DR. MARK DAVID ROTHMAN M.D.
Specialist
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Wake County (919) 876-7807
WAKE NEPHROLOGY ASSOCIATES, P.A.
Specialist
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Theodore's NPI number?

The NPI number for Donna Theodore is 1366470791. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Donna Theodore located?

Donna Theodore practices at 3604 Bush St, Raleigh, NC 27609. The listed phone number is (919) 876-7807.

What is Donna Theodore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Donna Theodore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.