Individual
ANN MARIE O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 522-4700
(617) 983-6058
Mailing address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 983-6061
(617) 983-6058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN169615
MA
Other
Enumeration date
06/03/2014
Last updated
12/27/2018
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