Individual
KAREN G DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
004648
CT
363LG0600X
Gerontology Nurse Practitioner
712085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008046486
—
CT
Enumeration date
03/04/2008
Last updated
03/17/2018
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