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DR. MARY COLLEEN DONNELLY M.D. NPI 1891896726


NPI Information

NPI: 1891896726
Provider Name: DR. MARY COLLEEN DONNELLY, M.D.
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
500 N. HWY 89
NORTHERN ARIZONA VA HCS
PRESCOTT, AZ
ZIP 86313
Phone: (928) 445-4860
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DR. Mary Colleen Donnelly, M.D. is an addiction medicine psychiatry neurology in Prescott, AZ. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Mary Colleen Donnelly, M.D. NPI is 1891896726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 N. HWY 89
NORTHERN ARIZONA VA HCS
PRESCOTT, AZ
ZIP 86313
Phone: (928) 445-4860

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction MedicineD42636MARYLANDNo
22084A0401XPsychiatry & NeurologyAddiction Medicine25942ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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