Individual
MS. CHONG-AE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
460 AMHERST ST, NASHUA, NH 03063-1220
(603) 883-7970
Mailing address
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8695
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
061386-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114299
—
NH
Enumeration date
09/19/2018
Last updated
10/21/2019
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