Individual
MS. EILEEN JOY ODONNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
345 MONTAUK AVE, NEW LONDON, CT 06320-4738
(860) 444-6711
(860) 437-0650
Mailing address
146 IRONWORKS RD, CLINTON, CT 06413-1223
(860) 664-0466
(860) 669-3351
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
000368
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2V5541
HEALTH NET
CT
01
—
368000
CONNECTICARE
CT
01
—
400000368CT04
BLUE CROSS BLUE SHIELD
CT
Enumeration date
07/27/2005
Last updated
07/08/2007
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