Basic Information
Provider Information
NPI: 1871806661
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WALSH DONNINI
FirstName: MARGARET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
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Mailing Information
Address1: 301 ST. PAUL PLACE
Address2: MEDICAL STAFF OFFICE
City: BALTIMORE
State: MD
PostalCode: 212022102
CountryCode: US
TelephoneNumber: 4106592802
FaxNumber:  
Practice Location
Address1: 345 ST. PAUL PLACE
Address2: ICU - 9TH FLOOR
City: BALTIMORE
State: MD
PostalCode: 212022102
CountryCode: US
TelephoneNumber: 4103329610
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/21/2010
LastUpdateDate: 11/24/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XR171075MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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