Individual
MRS. LARAINE ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8163 KINGFISHER LANE, PINKERINGTON, OH 43147
(614) 833-1731
Mailing address
3345 CORNER RD, ALEXANDRIA, OH 43001-8708
(740) 587-4645
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN318895
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2687507
—
OH
Enumeration date
02/05/2007
Last updated
07/08/2007
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