DONNA L TULLY PA-C
NPI 1699756809
Physician Assistant in Petaluma, CA

Q: What is Donna Tully's NPI number?

The NPI number for Donna Tully is 1699756809. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is Donna Tully's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Donna Tully was last updated on March 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 07, 2005

1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7570 Get Directions Write a Review

NPPES record last updated: March 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Donna L Tully Pa-c NPPES

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

DONNA L TULLY PA-C (NPI 1699756809) is an individual physician assistant in Petaluma, California, licensed in New Mexico (PA2003-0035) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1699756809

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDONNA L TULLYCredential: PA-C

Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559

Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500 · Fax (707) 559-7570

Phone(707) 559-7500

Fax(707) 559-7570

Sole ProprietorNo

Enumeration DateNovember 7, 2005

Last NPPES UpdateMarch 1, 2014

✔ NPI 1699756809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NM · PA2003-0035

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1179 N MCDOWELL BLVD, Petaluma, CA 94954

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Other Identifiers 2

Medicare ID-Type UnspecifiedP47794NM · Pac

Medicaid25486080NM

Other Providers at the Same Location NPPES 20

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

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