Healthcare Provider Details

I. General information

NPI: 1922521236
Provider Name (Legal Business Name): SUSAN MARIE DONOGHUE MSN, FNP, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN MARIE WRIGHT

II. Dates (important events)

Enumeration Date: 07/18/2017
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 N HAYDEN RD STE D354
SCOTTSDALE AZ
85258
US

IV. Provider business mailing address

7975 N HAYDEN RD STE D354
SCOTTSDALE AZ
85258-3243
US

V. Phone/Fax

Practice location:
  • Phone: 480-268-2670
  • Fax:
Mailing address:
  • Phone: 480-268-2670
  • Fax: 480-268-2671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00731300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP1302
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: