Provider Demographics
NPI:1750058764
Name:DONNELLY, BARBARA MCGUIGAN (RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MCGUIGAN
Last Name:DONNELLY
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 1:12 W BAYBERRY RD
Mailing Address - Street 2:
Mailing Address - City:GLENMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12077-3029
Mailing Address - Country:US
Mailing Address - Phone:518-332-2506
Mailing Address - Fax:
Practice Address - Street 1:12 W BAYBERRY RD
Practice Address - Street 2:
Practice Address - City:GLENMONT
Practice Address - State:NY
Practice Address - Zip Code:12077-3029
Practice Address - Country:US
Practice Address - Phone:518-332-2506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY631837-1163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant