Individual
MRS. DONNA L MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
20 MAGNOLIA AVE, SUITE A, BRIDGETON, NJ 08302-1759
(856) 455-7017
(856) 455-2594
Mailing address
20 MAGNOLIA AVE, SUITE A, BRIDGETON, NJ 08302-1759
(856) 455-7017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
25ME00010601
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1917803
—
NJ
Enumeration date
03/30/2006
Last updated
04/22/2015
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