LEAH TAYLOR DONOVAN


Address: 375 W River Woods Pkwy, Suite 205, Glendale, WI 53212-1080
Phone: 4149617250

LEAH TAYLOR DONOVAN (NPI# 1558462036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558462036
Entity Type Individual
Full Name LEAH TAYLOR DONOVAN
Credential R.N., A.P.N.P.
Practice Address 375 W River Woods Pkwy
Suite 205
Glendale
WI 53212-1080
Mailing Address 4425 N Port Washington Rd
Attn: Csmcp Clinic Credentialing
Glendale
WI 53212-1082
Practice Telephone 4149617250
Practice Fax Number 4149612795
Mailing Telephone 4149617250
Mailing Fax Number 4149612795
Enumeration Date 2006-09-26
Last Update Date 2011-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2570-033 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 375 W RIVER WOODS PKWY
SUITE 205
City GLENDALE
State WI
Zip Code 53212-1080

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275506081 Thorsteinn Skulason Dermatology 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 2006-02-10
1194330712 Columbia St. Mary's Hospital Milwaukee, Inc Family Medicine 375 W River Woods Pkwy, Glendale, WI 53212-1080 2020-09-10
1992160626 Ihc-urgent Care Services LLC Physician Assistant 375 W River Woods Pkwy, Glendale, WI 53212-1080 2015-12-23
1346330826 Mary D Washburne Family Medicine 375 W River Woods Pkwy, Glendale, WI 53212-1080 2006-10-13
1649378969 Noelle C Kisting Family Medicine 375 W River Woods Pkwy, Glendale, WI 53212-1080 2006-09-20
1376565267 Manish J. Gharia Dermatology 375 W River Woods Pkwy, Glendale, WI 53212-1080 2006-07-23
1215980941 Valerie B. Lyon Dermatology 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 2006-05-17

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1093285140 Megan Marie Volp Advanced Practice Midwife 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 2018-12-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City GLENDALE
Zip Code 53212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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