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Individual

MARY DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
770 MILES RD, WEST CHESTER, PA 19380-1950
(610) 436-8611
Mailing address
227 CHARLES ELLIS DR, NEWTOWN SQUARE, PA 19073-1313
(862) 222-3183

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP024542
PA

Other

Enumeration date
10/26/2021
Last updated
12/19/2024
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