Breana O'Donnell, LPN
Licensed Practical Nurse in Phoenix, AZ. Individual provider (NPI-1).
NPI number1982156998
StatusActive
Last updated in NPPESOct 26, 2016
Details
- NPI
- 1982156998
- Entity type
- Individual (NPI-1)
- Name
- Breana O'Donnell
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2016
- Last updated
- Oct 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | lp051450 | AZ | Yes |
Practice location
10813 W Mariposa DrPhoenix, AZ 85037-5009
Phone 909-520-5099
Mailing address
10813 W Mariposa DrPhoenix, AZ 85037-5009
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