MEDICARE: MAUREEN AMANDA MCDONAGH DNP, ARNP, PMHNP-BC,

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	A-113041	IA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	A-113041	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093039844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN AMANDA MCDONAGH DNP, ARNP, PMHNP-BC,

Provider Business Mailing Address
First Line	:	15496 ABBEY CIR
Second Line	:
City	:	PEOSTA
State	:	IA
Zip	:	52068-9678
Country	:	US
Telephone Number	:	563-590-9226
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 N GRANDVIEW AVE
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-6388
Country	:	US
Telephone Number	:	563-589-2566
Fax Number	:

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

Provider Enumeration Date	:	03/23/2010
Last Update Date	:	01/27/2017

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