Individual
MARTHA ULYSSA DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
2121 EOFF ST, WHEELING, WV 26003-3805
(304) 234-3580
(304) 234-3596
Mailing address
2121 EOFF ST, WHEELING, WV 26003-3805
(304) 234-3580
(304) 234-3596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2005000034-22
WV
363LF0000X
Family Nurse Practitioner
Primary
44795
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722461
BCBS
WV
05
—
3810004800
—
WV
Enumeration date
05/28/2005
Last updated
07/18/2013
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