Individual
CHARITY LYNN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12800 MISSISSIPPI PKWY STE B100, CROWN POINT, IN 46307-6901
(219) 662-5700
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28154159A
IN
363LF0000X
Family Nurse Practitioner
28154159A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003426A
IN
Other
Enumeration date
09/20/2010
Last updated
12/30/2022
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