Individual
SHIVAUN ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
272 S RIVER ST, WILKES BARRE, PA 18702-2409
(570) 814-8229
(570) 970-8553
Mailing address
272 S RIVER ST, WILKES BARRE, PA 18702-2409
(570) 814-8229
(570) 970-8553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN660587
PA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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