Individual
MRS. MELISSA ANN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2200 ELMWOOD AVE STE D11, LAFAYETTE, IN 47904-2391
(765) 756-5077
(949) 561-4250
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007606A
IN
363LF0000X
Family Nurse Practitioner
28162871A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010545
—
IN
Enumeration date
07/23/2017
Last updated
02/24/2022
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