1649205998

Everything you always wanted to know about MS. ST. GERMAINE J DONNA NP but were afraid to ask.

MS. ST. GERMAINE J DONNA NP

You can also download the this 1649205998 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MS. ST. GERMAINE J DONNA NP
Gender:
Female
Enumeration date:
2006-07-12
Last update date:
2017-09-18
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
0707520 Medicaid none MA
Q70877 Medicare UPIN none none
VX1425 Medicare PIN none MA

Taxonomies

Taxonomy State License Number Primary?
363L00000X Nurse Practitioner MA 195385 Y

Phone Numbers

Type Number
Mailing Address Fax Number 5083341977
Mailing Address Telephone Number 4132832545
Practice Location Address Telephone Number 8663832727

Addresses

Type Address City State Postal Country
Mailing Address 1001 THORNDIKE ST PALMER MA 1069 MA
Practice Location Address 1001 THORNDIKE ST PALMER MA 1069 MA

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Individual
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