Individual provider · Type 1 NPI

Kathleen Donovan

Nurse Practitioner · Philadelphia, PA

NPI number 1962807255 Active

Practice location

3400 Spruce St, 3 Silverstein Bldg
Philadelphia, PA 19104-4238

Fax (215) 349-5534

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP014502 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1962807255

Kathleen Donovan's National Provider Identifier is 1962807255, issued on Oct 29, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 8, 2026.