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NPI Code Detail

MEDICARE: PATRICIA MARIE DONEGAN FNP-C

MEDICARE: PATRICIA MARIE DONEGAN FNP-C
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
1363LF0000XFamily Nurse PractitionerAPN.0998752-NPCO

General Provider Information

NPI Number : 1679267090
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MARIE DONEGAN FNP-C
Provider Business Mailing Address
First Line : 1958 RIPPLE RIDGE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-1913
Country : US
Telephone Number : 303-704-0912
Fax Number :
Provider Business Practice Location Address
First Line : 1401 ANITA ST
Second Line :
City : PUEBLO
State : CO
Zip : 81001-2122
Country : US
Telephone Number : 719-225-6510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 06/13/2023

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