Individual
JULIA DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 617-2000
Mailing address
575 MAIN ST FL 2, MIDDLETOWN, CT 06457-2845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209287
CT
363LP0200X
Pediatric Nurse Practitioner
12332
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
2019026953
MO
Other
Enumeration date
06/27/2023
Last updated
10/03/2025
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