Individual
DEIRDRE A DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 AVON ST, KEENE, NH 03431-3516
(603) 357-4400
Mailing address
64 MAIN ST FL 2, KEENE, NH 03431-3701
(603) 283-1570
(603) 352-9648
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
056667-21
NH
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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