MEDICARE: DEANNA C DONNELL CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	150934	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588667166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA C DONNELL CNM

Provider Business Mailing Address
First Line	:	2305 SOUTH 65 HIGHWAY
Second Line	:	BUILDING A
City	:	MARSHALL
State	:	MO
Zip	:	65340-3702
Country	:	US
Telephone Number	:	660-886-7800
Fax Number	:	660-831-3346

Provider Business Practice Location Address
First Line	:	2305 SOUTH 65 HIGHWAY
Second Line	:	BUILDING A
City	:	MARSHALL
State	:	MO
Zip	:	65340-3702
Country	:	US
Telephone Number	:	660-886-7800
Fax Number	:	660-831-3346

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/06/2023

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Directions to “ DEANNA C DONNELL CNM” Practice Location

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