Individual
SARA ELIZABETH O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5179 LODGECLIFFE LN, MCFARLAND, WI 53558-9481
(608) 834-0414
Mailing address
5179 LODGECLIFFE LN, MCFARLAND, WI 53558-9481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7115
WI
363LA2200X
Adult Health Nurse Practitioner
7115-33
WI
363LG0600X
Gerontology Nurse Practitioner
7115-33
WI
363LP2300X
Primary Care Nurse Practitioner
7115-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7115-33
WI DSPS LICENSURE
WI
Enumeration date
08/11/2016
Last updated
04/24/2024
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