Individual
STEPHANIE MARIE ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AC-PNP
Contact information
Practice address
3333 BURNET AVE, ML 11024, CINCINNATI, OH 45229-3026
(513) 803-4724
(513) 803-9294
Mailing address
916 VENETIAN TER, CINCINNATI, OH 45224-2784
(513) 317-2494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0035505
OH
363LA2100X
Acute Care Nurse Practitioner
0035505
OH
Other
Enumeration date
02/13/2024
Last updated
03/16/2024
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