Individual
MRS. KRISTIN LAUREN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
8839 BRYAN DAIRY RD STE 200, LARGO, FL 33777-1207
(727) 394-5650
(813) 635-7939
Mailing address
8839 BRYAN DAIRY RD STE 200, LARGO, FL 33777-1207
(727) 394-5650
(813) 635-7939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11007369
FL
363LF0000X
Family Nurse Practitioner
77892
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110510100
—
FL
Enumeration date
09/19/2017
Last updated
10/17/2022
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