Individual
MRS. MARYANN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
351656
NY
163WH0200X
Home Health Registered Nurse
351656
NY
163WI0500X
Infusion Therapy Registered Nurse
351656
NY
163WP0200X
Pediatric Registered Nurse
351656
NY
163WP2201X
Ambulatory Care Registered Nurse
351656
NY
363L00000X
Nurse Practitioner
Primary
5794
CT
363LA2200X
Adult Health Nurse Practitioner
5794
CT
Other
Enumeration date
06/30/2010
Last updated
06/06/2016
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