Peter O'donnell NP

NPI 1023372117 - Registered Nurse - 163W00000X

NPI Details
NPI 1023372117
Gender Male
Enumeration Date 07/03/2012
Last Updated 12/18/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
180 PARK AVE
PORTLAND ME, 04102-2957, US
Phone (207) 828-2402
Fax (207) 828-2425
Business Location
180 PARK AVE
PORTLAND ME, 04102-2957, US
Phone (207) 874-2141
Fax (207) 874-2164
Toxanomy
Taxonomy Code 163W00000X
License State Maine
License Number 21443315
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According to our database, Mr. Peter O'donnell NP NPI is 1023372117, taxonomy code is 163W00000X and license number is 21443315, license state is located at Maine. Peter O'donnell NP physically located at 180 Park Ave, Portland ME, 04102-2957. NPI Number Peter O'donnell NP has the Individual type.

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1023372117 NPI number is provided on an as is basis without warranty of any kind. 1023372117 is maintained by the National Plan & Provider Enumeration System. The contents of Peter O'donnell NP are for informational purposes only.