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Individual
MICHELLE DONATO
Active
Individual
MICHELLE DONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
468117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
NPI - TYPE 2
—
01
—
500012159
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
—
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
Enumeration date
03/16/2006
Last updated
09/24/2018
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