Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MWR.0000184 | CO |
NPI | 1043844707 |
---|---|
Provider Name | Nemonie Erin Donahue |
First Address | Del Norte, CO 81132-9745 |
Second Address | Del Norte, CO 81132-9745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2020 |
Last Update Date | 02/03/2020 |