Individual
ERIN KATHLEEN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1483 TOBIAS GADSON BLVD., SUITE 107, CHARLESTON, SC 29407-4795
(843) 745-5153
(843) 766-8606
Mailing address
1065 NE 125TH STREET, #409, NORTH MIAMI, FL 33161-5834
(888) 852-6672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223466
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23339
SC
Other
Enumeration date
10/01/2019
Last updated
10/16/2019
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