National Provider Identifier

Mary Kathryn Donovan, RN

Mary Kathryn Donovan, RN is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse in Buffalo, NY and a listed phone number of (716) 882-3151.

NPI 1104354448Buffalo, NYGeneral Practice Registered Nurse

Profile Overview

NPI
1104354448
Provider Type
Individual
Primary Specialty
General Practice Registered Nurse
Enumeration Date
May 31, 2017
Last Updated
March 17, 2018

Practice Location

  • 625 Delaware Ave Ste 204
  • Buffalo, NY 14202-1007

Phone: (716) 882-3151

Mailing Address

  • 255 Delaware Ave Ste 300
  • Buffalo, NY 14202-2017

Specialties

  • General Practice Registered Nurse (163WG0000X)
Full Record
NPI
1104354448
Entity Type
Individual
Last Name
Donovan
First Name
Mary
Middle Name
Kathryn
Credential
RN
Mailing Street Address
255 Delaware Ave Ste 300
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-2017
Mailing Country
US
Mailing Phone
(716) 842-0440
Mailing Fax
(716) 842-4069
Practice Street Address
625 Delaware Ave Ste 204
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1007
Practice Country
US
Practice Phone
(716) 882-3151
Practice Fax
(716) 886-4002
Enumeration Date
May 31, 2017
Last Updated
March 17, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Registered Nurse (163WG0000X)
Other Identifiers
731782 (NY, License)