Donovan, Carolyn

Donovan, Carolyn is an individual health care provider with primary practice located at 31 Taylor St , Harpers Ferry WV 25425-9519. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Donovan, Carolyn can be contacted via phone (304) 535-6343.

Contact Information

Primary practice address
31 Taylor St Harpers Ferry WV 25425-9519
Phone: (304) 535-6343
Fax: (304) 293-6963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 23136 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 23136 West Virginia

Profile Details

NPI number 1508820093
LBN Legal business name Donovan, Carolyn
Credentials CCNS, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508820093 NPPES
West Virginia MEDICAID 7102290000

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