Individual
LEEANN LOUISE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 482-3100
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18322
SC
367500000X
Certified Registered Nurse Anesthetist
GAA-CRNA002093
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003167080A
—
GA
05
—
AN2291
—
SC
01
—
NPI #
BLUE CROSS
SC
Enumeration date
06/19/2013
Last updated
09/11/2024
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