Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Donna Antonia Theodore, PA-C

Individual provider Medical Physician Assistant · NPI 1366470791

Mrs. Donna Antonia Theodore, PA-C is a Medical Physician Assistant in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3604 Bush St
Raleigh, NC 27609-7511
Phone: (919) 876-7807
Fax: (919) 876-8823
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 104147 (NC)

Record details

NPI number1366470791
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJuly 8, 2007

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