Individual
MS. ANNA ELIZABETH DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(866) 682-4842
(877) 435-6573
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 384-1848
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
783885
CA
363L00000X
Nurse Practitioner
Primary
95009432
CA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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