Individual
SHANNON DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
2501 CHRISTIAN ST APT 302, PHILADELPHIA, PA 19146-2346
(609) 472-0305
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN663957
PA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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