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Individual

MS. MARGUERITA ROSE DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 316-1594
(704) 316-9771
Mailing address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 316-1594
(704) 316-9771

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
478
NC
367500000X
Certified Registered Nurse Anesthetist
R40479
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
069825
AZ
05
15434729
NM
01
202005158
PHP MOO SALUD
NM
Enumeration date
06/16/2006
Last updated
02/24/2023
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