Ms. Eileen Joy Odonnell
Nurse Practitioner - Women's Health
345 Montauk Ave
New London
, Connecticut 06320-4738
Ms. Eileen Joy Odonnell
Nurse Practitioner - Women's Health
345 Montauk Ave
New London
, Connecticut 06320-4738
(860) 669-3351
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Eileen Joy Odonnell
- 146 Ironworks Rd
- Clinton, CT
- Zip : 06413-1223
- Fax : (860) 669-3351
- Phone : (860) 664-0466
Second Address
- Ms. Eileen Joy Odonnell
- 345 Montauk Ave
- New London, CT
- Zip : 06320-4738
- Fax : (860) 437-0650
- Phone : (860) 444-6711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 000368 | CT |
National Provider Identifier
| NPI | 1063412542 |
|---|---|
| Provider Name | Ms. Eileen Joy Odonnell |
| First Address | Clinton, CT 06413-1223 |
| Second Address | New London, CT 06320-4738 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2V5541 | HEALTH NET (01) | CT |
| 368000 | CONNECTICARE (01) | CT |
| 400000368CT04 | BLUE CROSS BLUE SHIELD (01) | CT |
| S47007 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.