Individual
CHEYENNE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
282 MAIN STREET EXT STE A3, MIDDLETOWN, CT 06457-4467
(860) 270-0506
Mailing address
34 FOOTHILLS WAY, BLOOMFIELD, CT 06002-1640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17019
CT
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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