Individual
MRS. ROSEELLEN M. DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
953 AUBURN ST, HANNIBAL, NY 13074-2180
(315) 564-7945
(315) 564-7982
Mailing address
953 AUBURN ST, HANNIBAL, NY 13074-2180
(315) 564-7945
(315) 564-7982
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
345571-1
NY
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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