Individual
MRS. MARY ELIZABETH DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
974 RIBAUT RD, BEAUFORT, SC 29902-5486
(843) 524-3344
(843) 524-5574
Mailing address
974 RIBAUT RD, BEAUFORT, SC 29902-5486
(843) 524-3344
(843) 524-5574
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
17510
SC
363LA2100X
Acute Care Nurse Practitioner
RN175949
GA
Other
Enumeration date
12/21/2011
Last updated
01/11/2013
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