Individual
DONNA M GOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 283-7651
(413) 284-5117
Mailing address
302 JUNE ST, WORCESTER, MA 01602-3258
(508) 756-2060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
164210
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP3587
BLUECROSSBLUESHIELD
MA
01
—
P00111096
RAILROAD MEDICARE
—
Enumeration date
02/15/2007
Last updated
09/10/2013
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