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Search › Idaho › 363A00000X

Maurissa Donangelo, PA-C, PHD

NPI 1508355538 · on the registry since 2018

Practice

Address
526 Shoup Ave W Ste E
Twin Falls, ID 83301
Phone
(208) 736-3362
Fax
(208) 736-3382
Organisation at this address
K2red Llc
K2red L.L.C.
K2red L.L.C.
M Cole Johnson, Inc
Richard W Worst Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho