Provider Demographics
NPI:1861511826
Name:TRAGESER, DONNA M (CRNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:TRAGESER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 HICKORY LIMB CIR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-1936
Mailing Address - Country:US
Mailing Address - Phone:410-720-7901
Mailing Address - Fax:410-064-7811
Practice Address - Street 1:1212 ASQUITHPINES PL
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2149
Practice Address - Country:US
Practice Address - Phone:410-647-4997
Practice Address - Fax:410-647-8115
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR048829363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care