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Individual

MICHELLE DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, WHNP

Contact information

Practice address
225 SMITH AVE N STE 200, SAINT PAUL, MN 55102-2697
(651) 241-5111
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041406017
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
10323
MN
363LW0102X
Women's Health Nurse Practitioner
209023954
IL

Other

Enumeration date
08/23/2021
Last updated
01/25/2024
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