Individual
DEVIN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CPNP-AC/PC
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2302261
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2302261
MA
Other
Enumeration date
10/21/2021
Last updated
01/15/2022
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