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NPI Code Detail

MEDICARE: PATRICIA ANN O'DRISCOLL RN

MEDICARE:   PATRICIA ANN O'DRISCOLL  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704178173MI

General Provider Information

NPI Number : 1578150926
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN O'DRISCOLL RN
Provider Business Mailing Address
First Line : 28141 SWAN ISLAND DR
Second Line :
City : GROSSE ILE
State : MI
Zip : 48138-2039
Country : US
Telephone Number : 586-924-2372
Fax Number :
Provider Business Practice Location Address
First Line : 28141 SWAN ISLAND DR
Second Line :
City : GROSSE ILE
State : MI
Zip : 48138-2039
Country : US
Telephone Number : 586-924-2372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2020
Last Update Date : 12/30/2020

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Directions to “ PATRICIA ANN O'DRISCOLL RN” Practice Location

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