Basic Information
Provider Information
NPI: 1043578867
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MUNSEY
FirstName: DONNA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2025 GLENN MITCHELL DR
Address2:  
City: VIRGINIA BEACH
State: VA
PostalCode: 234560178
CountryCode: US
TelephoneNumber: 7575074123
FaxNumber: 7572615849
Practice Location
Address1: 1840 AMHERST ST
Address2:  
City: WINCHESTER
State: VA
PostalCode: 226012808
CountryCode: US
TelephoneNumber: 5405364334
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/30/2012
LastUpdateDate: 06/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0102204266VAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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