Individual
EILEEN M ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(617) 414-5405
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
169129
MA
367500000X
Certified Registered Nurse Anesthetist
95000393
CA
Other
Enumeration date
12/13/2012
Last updated
07/25/2025
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