Healthcare Provider Details

I. General information

NPI: 1205595055
Provider Name (Legal Business Name): ANGELIQUE DONATI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 CHURCH ST
LACONIA NH
03246-3462
US

IV. Provider business mailing address

22 STRAFFORD ST
LACONIA NH
03246-4701
US

V. Phone/Fax

Practice location:
  • Phone: 603-366-1070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP211649
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number043750-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: