| Doctor Name: | MS. ANN MARIE MCDONALD |
| NPI Number: | 1063492007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CNP |
| License Number: | R118149-4 |
| Business Practice Address: | 6300 Olson Memorial Hwy Golden Valley, MN - 554274946 |
| Business Phone Number: | 7637972900 |
| Business Fax Number: | |
| Mailing Address: | 8083 157th St W, APPLE VALLEY |
| State: | MN |
| Postal Code: | 551245152 |
| Phone Number: | 9529972819 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2006 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R118149-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |