Provider Demographics
NPI:1003111493
Name:DONAHUE, CLAIRE (RNCS)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:RNCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 SAVIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-2329
Mailing Address - Country:US
Mailing Address - Phone:781-338-7250
Mailing Address - Fax:781-338-7245
Practice Address - Street 1:178 SAVIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-2329
Practice Address - Country:US
Practice Address - Phone:781-338-7250
Practice Address - Fax:781-338-7245
Is Sole Proprietor?:No
Enumeration Date:2011-01-17
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA139100364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult