Individual
DIANE MAURO DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
420 E MAIN ST, BLD. 2, STE. 3, BRANFORD, CT 06405-2940
(203) 481-2280
(203) 481-2275
Mailing address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
(203) 481-2280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
006765
CT
363LF0000X
Family Nurse Practitioner
COA.17537-NP
OH
363LF0000X
Family Nurse Practitioner
SP012887
PA
Other
Enumeration date
05/16/2013
Last updated
12/12/2016
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