Doctor Name: | MS. DENISE MARIE DONAHUE |
NPI Number: | 1003138637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 303004 |
Business Practice Address: | 100 High St Buffalo, NY - 142031126 |
Business Phone Number: | 7168595600 |
Business Fax Number: | |
Mailing Address: | 6777 E Quaker St, ORCHARD PARK |
State: | NY |
Postal Code: | 141272500 |
Phone Number: | 7166673667 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2010 |
NPI Last Update Date: | 02/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 303004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |