Individual
MRS. BRIANA O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
775 POLE LINE RD W, SUITE 112, TWIN FALLS, ID 83301-5814
(208) 814-8200
Mailing address
2669 4TH AVE E, TWIN FALLS, ID 83301-7565
(208) 420-3016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53640
ID
Other
Enumeration date
07/18/2016
Last updated
03/24/2017
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