Individual
MATTHEW O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6500 CREEDMOOR RD STE 110, RALEIGH, NC 27613-3698
(919) 825-4000
Mailing address
6500 CREEDMOOR RD STE 110, RALEIGH, NC 27613-3698
(919) 825-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013305
NC
363L00000X
Nurse Practitioner
AP135855
TX
363LF0000X
Family Nurse Practitioner
Primary
5013305
NC
Other
Enumeration date
02/23/2018
Last updated
06/10/2024
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