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PATRICIA O'DONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3110 GRACEFIELD RD, SILVER SPRING, MD 20904-1820
(301) 572-8340
(301) 572-8403
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4873
(310) 572-8340
(301) 572-8403

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R042736
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R042736
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214 221 000
MD
Enumeration date
08/09/2006
Last updated
12/10/2014
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