Individual
MS. KATHLEEN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., MSN, CRRN, ANP
Contact information
Practice address
95 MOUNT KEMBLE AVE, THEBAUD BUILDING, FOURTH FLOOR, MORRISTOWN, NJ 07960-5155
(973) 267-2293
(973) 267-3144
Mailing address
95 MOUNT KEMBLE AVE, THEBAUD BUILDING, FOURTH FLOOR, MORRISTOWN, NJ 07960-5155
(973) 267-2293
(973) 267-3144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NO07041500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7104103
—
NJ
Enumeration date
07/17/2006
Last updated
07/08/2007
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