Individual
ANN E DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S 11TH ST, THOMAS JEFFERSON UNIVERSITY HOSPITAL, BODINE CENTER, PHILADELPHIA, PA 19107-4824
(215) 955-6702
Mailing address
111 S 11TH ST, THOMAS JEFFERSON UNIVERSITY HOSPITAL, BODINE CENTER, PHILADELPHIA, PA 19107-4824
(215) 955-6702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN273637
MA
363L00000X
Nurse Practitioner
Primary
SP015065
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103255991
—
PA
Enumeration date
05/17/2010
Last updated
05/11/2017
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