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NPI Code Detail

MEDICARE: MRS. CATHERINE F DONOVAN RN

MEDICARE: MRS. CATHERINE F DONOVAN RN
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
1163WP0808XPsychiatric/Mental Health Registered NurseRN9227387FL

General Provider Information

NPI Number : 1831394212
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE F DONOVAN RN
Provider Business Mailing Address
First Line : 1861 KINGSLEY AVE
Second Line : SUITE 2
City : ORANGE PARK
State : FL
Zip : 32073
Country : US
Telephone Number : 904-278-5644
Fax Number : 904-278-5659
Provider Business Practice Location Address
First Line : 3292 COUNTY ROAD 220
Second Line :
City : MIDDLEBURG
State : FL
Zip : 32068-4357
Country : US
Telephone Number : 904-291-5571
Fax Number : 904-291-5572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2007
Last Update Date : 02/08/2026

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