Individual
VANESSA MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 SOUTHGATE RD, LOUDONVILLE, NY 12211-1132
(518) 785-6607
Mailing address
30 SOUTHGATE RD, LOUDONVILLE, NY 12211-1132
(518) 785-6607
(518) 785-2766
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
700952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03052893
—
NY
Enumeration date
11/22/2019
Last updated
11/22/2019
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