Individual
ELIZABETH DONAGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
829 MAIN ROAD, WESTPORT, MA 02790-4394
(508) 636-5101
(508) 636-3651
Mailing address
829 MAIN ROAD, WESTPORT, MA 02790-4394
(508) 636-5101
(508) 636-3651
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
146212
MA
363LA2200X
Adult Health Nurse Practitioner
NPP25578
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354121
—
MA
01
—
23954
BCBS-RHODE ISLAND
RI
01
—
500023784
RAILROAD MEDICARE
MA
05
—
ED45782
—
RI
01
—
NP2793
BCBS-MA
MA
Enumeration date
04/04/2006
Last updated
07/09/2009
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