Individual
KRISTIN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.N.P, C.R.N.P.
Contact information
Practice address
530 CENTRE ST, ASHLAND, PA 17921-1330
(570) 645-1670
Mailing address
530 CENTRE ST, ASHLAND, PA 17921-1330
(570) 645-1670
(570) 645-1673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009671
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102157459
—
PA
Enumeration date
02/12/2008
Last updated
06/05/2018
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