Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 303004 | NY |
N | 363LA2200X | Nurse Practitioner - Adult Health | 303004 | NY |
NPI | 1003138637 |
---|---|
Provider Name | Ms. Denise Marie Donahue |
First Address | Orchard Park, NY 14127-2500 |
Second Address | Buffalo, NY 14203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2010 |
Last Update Date | 28/06/2018 |