Individual
ELAINE G DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 634-7020
Mailing address
HARTFORD HOSPITAL PROFESSIONAL SERVICES, PO BOX 40,000 DEPT 634, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
000903
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004009031
—
CT
Enumeration date
10/05/2006
Last updated
07/24/2023
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