Provider Demographics
NPI:1922273044
Name:DONAGHY, MEGAN MAUREEN (CNM)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MAUREEN
Last Name:DONAGHY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 SPRUCE ST FL 7
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4229
Mailing Address - Country:US
Mailing Address - Phone:267-600-2988
Mailing Address - Fax:
Practice Address - Street 1:601 WALNUT STREET
Practice Address - Street 2:SUITE 925E
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106
Practice Address - Country:US
Practice Address - Phone:215-829-8000
Practice Address - Fax:215-235-3361
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010175176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102145135Medicaid