Individual
DONOVAN MATALIE
Active
Individual
DONOVAN MATALIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01158600
NJ
367500000X
Certified Registered Nurse Anesthetist
676117
NY
367500000X
Certified Registered Nurse Anesthetist
RN693672
PA
Other
Enumeration date
06/21/2021
Last updated
05/20/2025
Update your record
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