Individual
MS. PRUDY L CARTER-DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 HOSPITAL ROAD, OAK BLUFFS, MA 02557
(508) 693-3164
(508) 696-5238
Mailing address
241 INDIAN HILL RD, VINEYARD HAVEN, MA 02568-7107
(508) 245-8589
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216938
MA
Other
Enumeration date
06/27/2013
Last updated
06/21/2018
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