Individual
ANN ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5644 NETHERLAND AVE, APT 2A, BRONX, NY 10471-1780
(718) 300-9694
Mailing address
5644 NETHERLAND AVE, APT 2A, BRONX, NY 10471-1780
(718) 300-9694
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2711135-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164W00000X
—
NY
Enumeration date
07/27/2016
Last updated
07/27/2016
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