Doctor Name: | WENDY LEE DONAUGH |
NPI Number: | 1336523836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN28625 |
Business Practice Address: | 6230 Main St Colstrip, MT - 593239520 |
Business Phone Number: | 4067483600 |
Business Fax Number: | |
Mailing Address: | #2 Sunflower Ln, PARK CITY |
State: | MT |
Postal Code: | 59063 |
Phone Number: | 4068500893 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2015 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN28625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |