Individual
DONNA M PENDOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
451 ANDOVER ST, SUITE 335, NORTH ANDOVER, MA 01845-5044
(978) 688-9979
(978) 688-7727
Mailing address
9 LAKE ST, AMESBURY, MA 01913-1612
(978) 688-9979
(978) 688-7727
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
159886
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0388131
—
MA
01
—
159886
LICENSE
MA
Enumeration date
08/17/2006
Last updated
07/09/2007
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