MEDICARE: JOANNE GREENFIELD DONAHUE FNP

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	363LF0000X	Family Nurse Practitioner	194176	MA
2	363LF0000X	Family Nurse Practitioner	NPP37533	RI
3	363LP0200X	Pediatric Nurse Practitioner	APRN00229	RI
4	363LF0000X	Family Nurse Practitioner	APRN00229	RI

General Provider Information

NPI Number	:	1043544885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE GREENFIELD DONAHUE FNP

Provider Business Mailing Address
First Line	:	175 NATE WHIPPLE HWY STE 102
Second Line	:
City	:	CUMBERLAND
State	:	RI
Zip	:	02864-1422
Country	:	US
Telephone Number	:	401-334-5437
Fax Number	:	401-334-3571

Provider Business Practice Location Address
First Line	:	175 NATE WHIPPLE HWY STE 102
Second Line	:
City	:	CUMBERLAND
State	:	RI
Zip	:	02864-1422
Country	:	US
Telephone Number	:	401-334-5437
Fax Number	:	401-334-3571

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

Provider Enumeration Date	:	09/27/2009
Last Update Date	:	02/17/2022

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