Provider Demographics
NPI:1477791572
Name:DONOHUE, CAROL LEE (RN)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LEE
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LOS AGUAJES AVE APT L
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3841
Mailing Address - Country:US
Mailing Address - Phone:805-450-4104
Mailing Address - Fax:
Practice Address - Street 1:2415 DE LA VINA ST
Practice Address - Street 2:COTTAGE REHABILITATION HOSPITAL
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3819
Practice Address - Country:US
Practice Address - Phone:805-687-7444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA481545163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation