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NPI Code Detail

MEDICARE: CAROLYN DONOVAN CCNS, NP

MEDICARE: CAROLYN DONOVAN CCNS, NP
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
1363L00000XNurse Practitioner23136WV
2364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist23136WV

Other Identifiers

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

General Provider Information

NPI Number : 1508820093
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN DONOVAN CCNS, NP
Provider Business Mailing Address
First Line : PO BOX 897
Second Line :
City : MORGANTOWN
State : WV
Zip : 26507-0897
Country : US
Telephone Number : 304-293-7401
Fax Number : 304-293-6963
Provider Business Practice Location Address
First Line : 31 TAYLOR ST
Second Line :
City : HARPERS FERRY
State : WV
Zip : 25425-9519
Country : US
Telephone Number : 304-535-6343
Fax Number : 304-293-6963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 09/11/2025

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Directions to “ CAROLYN DONOVAN CCNS, NP” Practice Location

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