Individual
MICHAEL DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 W 4TH ST, SUITE 310, COOKEVILLE, TN 38501-2448
(931) 528-7877
(931) 526-3261
Mailing address
100 W 4TH ST, SUITE 310, COOKEVILLE, TN 38501-2448
(931) 528-7877
(931) 526-3261
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
73492
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
9398
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3628683
—
TN
01
—
4083390
BCBS
TN
05
—
74011982
—
KY
01
—
P00183596
MEDICARE RAILROAD
TN
Enumeration date
10/11/2005
Last updated
12/16/2013
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