Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | NN56016 | NJ |
NPI | 1033381132 |
---|---|
Provider Name | Catherine M Donohue |
First Address | Red Bank, NJ 07701-1719 |
Second Address | Red Bank, NJ 07701-1014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2008 |
Last Update Date | 28/03/2008 |