Odonnell, Colleen

Odonnell, Colleen is an individual health care provider with primary practice located at 2132 N 1700 W Ste 230 , Layton UT 84041-7060. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Odonnell, Colleen can be contacted via phone (801) 773-3900.

Contact Information

Primary practice address
2132 N 1700 W Ste 230 Layton UT 84041-7060
Phone: (801) 773-3900
Fax: (801) 773-3900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007859-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6526009-1206 Utah

Profile Details

NPI number 1942290804
LBN Legal business name Odonnell, Colleen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942290804 NPPES
New York MEDICAID 02108996

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