Individual
MARNIE LIANE DONOHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN NP-C
Contact information
Practice address
615 S NEW BALLAS RD, CREVE COEUR, MO 63141-8221
(314) 251-7964
Mailing address
4820 FOX CREEK RD, WILDWOOD, MO 63069-3201
(314) 280-4543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2013011245
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2013011245
MO
Other
Enumeration date
05/06/2013
Last updated
02/11/2025
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