person
Kathleen Donovan, MD
Family Nurse Practitioner in Gorham, New Hampshire
NPI 1437151412

Kathleen Donovan is a Family Nurse Practitioner based in Berlin, NH and is specialized in Family. Kathleen Donovan practices in Gorham, NH and has the professional credentials of MD. The NPI Number for Kathleen Donovan is 1437151412 and holds a License No. 0210072303 (New Hampshire).

The current practice location address for Kathleen Donovan is 2 Broadway Ave, Gorham, NH and can be reached out via phone at 603-752-2040 and via fax at 603-752-7797. You can also correspond with Kathleen Donovan through the mailing address at 133 PLEASANT ST, BERLIN, NH - 03570-2006 (mailing address contact number: 603-752-2040).

Location: 2 Broadway Ave, Gorham, NH, 03570-2006
person
Provider Profile Details
NPI Number
1437151412
Provider Name
Kathleen Donovan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2 Broadway Ave, Gorham, NH, 03570-2006
Phone Number
603-752-2040
Fax Number
603-752-7797
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23YP02556NH02 01 NH ANTHEM BC/BS
3072649 05 NH
9680107001 01 NH CIGNA HEALTHCARE
020350051 01 FEDERAL TAX ID
30342708 05 NH
5830418 01 AETNA GROUP
0210072303 01 NH STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
2 Broadway Ave
City
State
Zip
03581-1502
Phone Number
603-752-2040
Fax Number
603-752-7797
person
Provider Business Mailing Address Details
Address
2 Broadway Ave
City
State
Zip
03581-1502
Phone Number
603-752-2040
Fax Number
603-752-7797
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0210072303 (New Hampshire)
Definition
Definition to come...
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