Individual
AMANDA O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
26 OCALA WAY, STAFFORD, VA 22556-4648
(571) 244-3434
Mailing address
26 OCALA WAY, STAFFORD, VA 22556-4648
(571) 244-3434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172167
VA
363LF0000X
Family Nurse Practitioner
RN170078
GA
Other
Enumeration date
02/28/2013
Last updated
02/23/2015
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