MICHELLE M DONOGHUE

CENTRA MEDICAL GROUP LLC

Dr MICHELLE M DONOGHUE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2008.

Contact

CENTRA MEDICAL GROUP LLC

915 S MAIN ST
FARMVILLE
VA
239012211

Tel: 4344143978

MICHELLE M DONOGHUE Information

Npi 1619118403
Pac Id 5395892038
Professional Enrollment Id I20090415000096
Last Name DONOGHUE
First Name MICHELLE
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CENTRA MEDICAL GROUP LLC
Group Practice Pac Id 4789606088
Number Of Group Practice Members 580
Line 1 Street Address 915 S MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FARMVILLE
State VA
Zip Code 239012211
Phone Number 4344143978
Hospital Affiliation Ccn 1 490021
Hospital Affiliation Lbn 1 CENTRA
Hospital Affiliation Ccn 2 490090
Hospital Affiliation Lbn 2 CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC
Hospital Affiliation Ccn 3 490112
Hospital Affiliation Lbn 3 CJW MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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