Individual
HEATHER E O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1321 LAUREL AVE, JANESVILLE, WI 53548-3544
(608) 359-5792
Mailing address
1321 LAUREL AVE, JANESVILLE, WI 53548-3544
(608) 359-5792
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
224467
WI
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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