Donovan, Elaine G

Donovan, Elaine G is an individual health care provider with primary practice located at 883 Paddock Ave , Meriden CT 06450-7044. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Donovan, Elaine G can be contacted via phone (203) 634-7020.

Contact Information

Primary practice address
883 Paddock Ave Meriden CT 06450-7044
Phone: (203) 634-7020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 000903 Connecticut

Profile Details

NPI number 1467548289
LBN Legal business name Donovan, Elaine G
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467548289 NPPES
Connecticut MEDICAID 004009031

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