Doctor Name: | KATHRYN A O'DONALD |
NPI Number: | 1043205289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | VP001864G |
Business Practice Address: | 1701 12th Ave Altoona, PA - 166013100 |
Business Phone Number: | 8149445062 |
Business Fax Number: | 8149445557 |
Mailing Address: | 1701 12th Ave, ALTOONA |
State: | PA |
Postal Code: | 166013100 |
Phone Number: | 8149445062 |
Fax Number: | 8149445557 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 04/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | VP001864G |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |