Individual
RHONDA C DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
224 S WOODS MILL RD, STE 330, CHESTERFIELD, MO 63017-3451
(314) 576-7013
(314) 576-4047
Mailing address
224 S WOODS MILL RD, STE 330, CHESTERFIELD, MO 63017-3451
(314) 576-7013
(314) 576-4047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
105507
MO
363L00000X
Nurse Practitioner
Primary
0327586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11173602
CAQH
—
01
—
121171
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/24/2005
Last updated
01/07/2011
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