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Individual

DIANA OLGA DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
24 STEVENS ST, NORWALK, CT 06850-3894
(203) 855-3516
(203) 899-5094
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 855-3516

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
155473
CT
163W00000X
Registered Nurse
F303958
NY
363L00000X
Nurse Practitioner
8029
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
8029
CT
363LA2200X
Adult Health Nurse Practitioner
F303958
NY

Other

Enumeration date
11/01/2006
Last updated
05/11/2020
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