Individual
MRS. MACKENZIE JANE DONOHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Mailing address
30 BRAINARD AVE APT 213, MEDFORD, MA 02155-5107
(774) 521-6202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2344051
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2344051
MA
Other
Enumeration date
03/23/2023
Last updated
07/24/2024
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