Provider Demographics
NPI:1437400660
Name:O'DONNELL, FRANCES G (RN)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:G
Last Name:O'DONNELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:G
Other - Last Name:MAIORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:819 BIG HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GRAHAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12740-5325
Mailing Address - Country:US
Mailing Address - Phone:845-985-5100
Mailing Address - Fax:
Practice Address - Street 1:68 HARRIS BUSHVILLE ROAD
Practice Address - Street 2:
Practice Address - City:HARRIS
Practice Address - State:NY
Practice Address - Zip Code:12742-5325
Practice Address - Country:US
Practice Address - Phone:845-985-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY638114163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation