Individual provider · Type 1 NPI
Samantha Odonnell, CRNP
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1346916061
Active
Practice location
1500 Market St
Philadelphia, PA 19102-2100
Fax (267) 369-5249
Mailing address
29 Quay Rd
Levittown, PA 19057-1911
Other practice locations
- 390 Commerce Dr, Fort Washington, PA 19034-2600 · (267) 727-2697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP042001 (PA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP024001 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1346916061
Samantha Odonnell, CRNP's National Provider Identifier is 1346916061, issued on Aug 22, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 17, 2026.