Individual
ELLEN A O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115-5724
(617) 355-7716
(617) 730-0480
Mailing address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115
(617) 355-7716
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
116015
MA
Other
Enumeration date
07/18/2006
Last updated
11/20/2012
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