Individual
VIVIAN ELLEN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-8771
(617) 724-4450
Mailing address
432 WINTHROP ST, MEDFORD, MA 02155-2330
(617) 448-0948
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN155844
MA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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