Provider Demographics
NPI:1083625453
Name:DONOHUE, DAWN PAMELA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:PAMELA
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:PAMELA
Other - Last Name:SCHOENFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:836 S 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-1398
Mailing Address - Country:US
Mailing Address - Phone:410-479-5900
Mailing Address - Fax:410-479-5901
Practice Address - Street 1:836 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-1398
Practice Address - Country:US
Practice Address - Phone:410-479-5900
Practice Address - Fax:410-479-5901
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR056503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD000202000Medicaid
P58892Medicare UPIN
862LMedicare ID - Type Unspecified