Provider Demographics
NPI:1508986514
Name:DONOVAN, LINDA SUSAN (CPNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUSAN
Last Name:DONOVAN
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Gender:F
Credentials:CPNP
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Mailing Address - Street 1:601 E WHITESTONE BLVD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-9015
Mailing Address - Country:US
Mailing Address - Phone:512-528-9996
Mailing Address - Fax:512-528-9070
Practice Address - Street 1:601 E WHITESTONE BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9015
Practice Address - Country:US
Practice Address - Phone:512-928-9996
Practice Address - Fax:512-928-9070
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2010-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX629991363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics