Individual
DONNA JEAN HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 HURLEY AVE, KINGSTON, NY 12401-3739
(845) 338-0180
(845) 338-4725
Mailing address
40 HURLEY AVE, KINGSTON, NY 12401-3739
(845) 338-0180
(845) 338-4725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
332621
NY
363LP2300X
Primary Care Nurse Practitioner
332621
NY
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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