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Individual

MRS. MARIA CAROLINA DONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
725 MASON ST, FLINT, MI 48503-2421
(810) 496-5797
(810) 496-5798
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704200253
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704200253
MI

Other

Enumeration date
08/10/2006
Last updated
08/30/2022
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