Active NPIIndividual provider

Eileen M Odonnell, CRNA

Nurse Anesthetist, Certified Registered in Brockton, Massachusetts

NPI Number1346586690
Practice location
235 N Pearl St, Brockton, MA 02301-1794
Fax
—
Last updated
July 25, 2025

Eileen M Odonnell is a Nurse Anesthetist, Certified Registered based in Brockton, MA. Eileen M Odonnell practices in Brockton, MA and has the professional credentials of CRNA. The NPI Number for Eileen M Odonnell is 1346586690 and holds a License No. 95000393 (CA). The current practice location address for Eileen M Odonnell is 235 N Pearl St, Brockton, MA 02301-1794 and can be reached out via phone at 617-414-5405.

Provider Profile Details

NPI Number
1346586690
Provider Name
Eileen M Odonnell
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
235 N Pearl St, Brockton, MA 02301-1794
Phone Number
617-414-5405
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
December 13, 2012
Last Update Date
July 25, 2025
Certification Date
July 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 N Pearl St
Brockton, MA 02301-1794
Zip
02301-1794
Phone Number
617-414-5405
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
City
Boston
State
MA
Zip
02118-2690
Phone Number
617-414-5405

License Information

License Number (1)
95000393
License State (1)
CA
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
169129
License State (2)
MA
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eileen M Odonnell, CRNA?

The NPI number of Eileen M Odonnell, CRNA is 1346586690. It was assigned on December 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Eileen M Odonnell, CRNA?

Eileen M Odonnell, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in CA under license number 95000393.

Where does Eileen M Odonnell, CRNA practice?

The practice location is 235 N Pearl St, Brockton, MA 02301-1794. The office can be reached at 617-414-5405 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346586690 directly on the NPPES registry website.

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