National Provider Identifier

Donna Marie Fairchild

Donna Marie Fairchild is listed in the NPPES registry with a primary specialty of Nutritionist in Newark, NY and a listed phone number of (315) 331-1700.

NPI 1386761062Newark, NYNutritionist

Profile Overview

NPI
1386761062
Provider Type
Individual
Primary Specialty
Nutritionist
Enumeration Date
March 26, 2007
Last Updated
July 08, 2007

Practice Location

  • 703 E Maple Ave
  • Newark, NY 14513-1845

Phone: (315) 331-1700

Mailing Address

  • 224 Scott Ln
  • Horseheads, NY 14845-1956

Specialties

  • Nutritionist (133N00000X)
Full Record
NPI
1386761062
Entity Type
Individual
Last Name
Fairchild
First Name
Donna
Middle Name
Marie
Mailing Street Address
224 Scott Ln
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-1956
Mailing Country
US
Mailing Phone
(607) 739-4377
Practice Street Address
703 E Maple Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1845
Practice Country
US
Practice Phone
(315) 331-1700
Practice Fax
(315) 331-3946
Enumeration Date
March 26, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nutritionist (133N00000X)