# RYAN O'DONELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124679253
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 95026182 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95021048 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2019
- **Last updated:** 11/06/2024