Healthcare Provider Details

I. General information

NPI: 1871806661
Provider Name (Legal Business Name): MARGARET WALSH DONNINI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 ST. PAUL PLACE ICU - 9TH FLOOR
BALTIMORE MD
21202-2102
US

IV. Provider business mailing address

301 ST. PAUL PLACE MEDICAL STAFF OFFICE
BALTIMORE MD
21202-2102
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9610
  • Fax:
Mailing address:
  • Phone: 410-659-2802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR171075
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: