Individual
DR. NANCY SCATTERGOOD DONAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2074 S STREAM RD, BENNINGTON, VT 05201-8886
(802) 681-8528
(802) 442-6703
Mailing address
2074 S STREAM RD, BENNINGTON, VT 05201-8886
(802) 681-8528
(802) 442-6703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006890
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028237
BLUE CROSS/BLUE SHIELD
VT
05
—
0005554
—
VT
01
—
080066554
RAILROAD MEDICARE
VT
01
—
08198
MVP
—
01
—
10002929
CDPHP
—
01
—
4482963
AETNA
—
01
—
8000200
LADIES FIRST
VT
Enumeration date
07/20/2005
Last updated
06/01/2015
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