Individual provider · Type 1 NPI

Krista M. O'Donnell, FNP-C

Family Nurse Practitioner · Stony Brook, NY

NPI number 1366959678 Active

Practice location

New York Spine And Brain Surgery Dept Of Neurosurgery, Hsc T12 Rm 080
Stony Brook, NY 11794-8122

Call (631) 444-1116 Map

Fax (631) 444-1535

Mailing address

40 Baylor Dr
Smithtown, NY 11787-2002

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X613325 (NY)
Family Nurse Practitioner Primary 363LF0000X342183 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1366959678

Krista M. O'Donnell, FNP-C's National Provider Identifier is 1366959678, issued on Jan 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Jan 8, 2018.