Provider Demographics
NPI:1528194396
Name:KRISTENSEN, DONNA A (NP)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:A
Last Name:KRISTENSEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:A
Other - Last Name:CROWHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 W RIO BONITO RD
Mailing Address - Street 2:
Mailing Address - City:BIGGS
Mailing Address - State:CA
Mailing Address - Zip Code:95917-9750
Mailing Address - Country:US
Mailing Address - Phone:530-868-0737
Mailing Address - Fax:
Practice Address - Street 1:50 E GRIDLEY RD
Practice Address - Street 2:
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948-2630
Practice Address - Country:US
Practice Address - Phone:530-709-6929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035877363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner