Provider Demographics
NPI:1043844707
Name:DONAHUE, NEMONIE ERIN (CPM, RM)
Entity type:Individual
Prefix:
First Name:NEMONIE
Middle Name:ERIN
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:CPM, RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11670 COUNTY ROAD 15
Mailing Address - Street 2:
Mailing Address - City:DEL NORTE
Mailing Address - State:CO
Mailing Address - Zip Code:81132-9745
Mailing Address - Country:US
Mailing Address - Phone:719-580-2479
Mailing Address - Fax:
Practice Address - Street 1:11670 COUNTY ROAD 15
Practice Address - Street 2:
Practice Address - City:DEL NORTE
Practice Address - State:CO
Practice Address - Zip Code:81132-9745
Practice Address - Country:US
Practice Address - Phone:719-580-2479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMWR.0000184176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife