Provider Demographics
NPI:1124900980
Name:DONOHUE, KAYLA (DNP, FNP-BC, MPH)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:DNP, FNP-BC, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WOODLAND DR UNIT D
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:VT
Mailing Address - Zip Code:05465-2559
Mailing Address - Country:US
Mailing Address - Phone:603-560-7487
Mailing Address - Fax:
Practice Address - Street 1:246 GRANGER RD STE 2
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-5352
Practice Address - Country:US
Practice Address - Phone:802-225-5810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0150501163W00000X
VT101.0138090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty