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MS. PRUDY L CARTER-DONOVAN NP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1750721312

Individual Registrant:
MS. PRUDY L CARTER-DONOVAN NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 HOSPITAL ROAD  OAK BLUFFS, MA 02557 US
Tel: 508-693-3164  Fax: 508-696-5238

Contact information for business:
241 INDIAN HILL RD  VINEYARD HAVEN, MA 02568-7107 US
Tel: 508-245-8589  Fax: --

Registration Information:
NPI: 1750721312
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MA216938

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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