| Doctor Name: | MS. MICHELE MONDAY DONOGHUE |
| NPI Number: | 1619118403 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 0001131752 |
| Business Practice Address: | 8631 Namozine Road Amelia, VA - 23002 |
| Business Phone Number: | 8045614333 |
| Business Fax Number: | 8045616263 |
| Mailing Address: | Po Box 70, VICTORIA |
| State: | VA |
| Postal Code: | 239740070 |
| Phone Number: | 4346962165 |
| Fax Number: | 4346961557 |
| NPI Enumeration Date: | 03/09/2009 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0001131752 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |