Individual
CASEY O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
55 HALLET ST, DORCHESTER, MA 02124-5407
(617) 288-6666
Mailing address
24 HEATHER RD, WATERTOWN, MA 02472-1706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2279619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2279619
MA BOARD OF NURSING
MA
Enumeration date
03/02/2021
Last updated
03/02/2021
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