Individual
MRS. KATIE ANN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
7445 KELLY DR, HILLSBORO, MO 63050-1215
(314) 229-1283
Mailing address
7445 KELLY DR, HILLSBORO, MO 63050-1215
(314) 229-1283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2007027783
MO
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-302749
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007027783
MO RN STATE LICENSE
MO
01
—
L-302749
IBCLC CREDENTIAL NUMBER
MO
Enumeration date
04/06/2021
Last updated
04/06/2021
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