Individual
MRS. TAYLOR NICOLE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 280-8517
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NHPRI
RI
05
—
ES01788
—
RI
01
—
SB870
BC
RI
Enumeration date
08/22/2023
Last updated
08/22/2023
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