| Kathleen Donovan, MD | |
|
2 Broadway Ave, Gorham, NH 03581-1502 | |
| (603) 752-2040 | |
| (603) 752-7797 |
| Full Name | Kathleen Donovan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2 Broadway Ave, Gorham, New Hampshire |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437151412 | NPI | - | NPPES |
| 23YP02556NH02 | Other | NH | ANTHEM BC/BS |
| 3072649 | Medicaid | NH | |
| 9680107001 | Other | NH | CIGNA HEALTHCARE |
| 020350051 | Other | FEDERAL TAX ID | |
| 30342708 | Medicaid | NH | |
| 5830418 | Other | AETNA GROUP | |
| 0210072303 | Other | NH | STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0210072303 (New Hampshire) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Donovan, MD 133 Pleasant St, Berlin, NH 03570-2006 Ph: (603) 752-2040 | Kathleen Donovan, MD 2 Broadway Ave, Gorham, NH 03581-1502 Ph: (603) 752-2040 |
Ms. Amy Beth Page, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway Ave, Gorham, NH 03581 Phone: 603-466-2741 Fax: 603-752-2953 | |
Alice Mclane, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway Ave, Gorham, NH 03581 Phone: 603-466-2741 Fax: 603-466-2953 | |
Cayla Leigh Benjamin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Broadway Ave, Gorham, NH 03581 Phone: 603-466-2741 Fax: 603-466-5442 | |
Julie Kaye Limmer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway Ave, Gorham, NH 03581 Phone: 603-466-2741 Fax: 603-466-2953 |