| Dr Christopher R O'donnell, | |
|
4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 | |
| (505) 717-1332 | |
| Not Available |
| Full Name | Dr Christopher R O'donnell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4201 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659902138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 59118 (New Mexico) | Primary |
| Entity Name | State Of New Mexico |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191 |
| Entity Name | Gd Psych Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801379433 PECOS PAC ID: 6204260474 Enrollment ID: O20191220001167 |
| Entity Name | Zia Community Cares, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831710490 PECOS PAC ID: 9830510288 Enrollment ID: O20200610003018 |
| Entity Name | Heart & Soul Of Nm, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922504117 PECOS PAC ID: 4587052873 Enrollment ID: O20211019000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher R O'donnell, 2621 Cutler Ave Ne, Albuquerque, NM 87106-2511 Ph: (505) 690-4223 | Dr Christopher R O'donnell, 4201 Carlisle Blvd Ne, Albuquerque, NM 87107-4808 Ph: (505) 717-1332 |
Mrs. Kristell L Michael, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117 Phone: 505-846-3562 Fax: 334-953-8607 | |
Mr. Michael Alan Wallace, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113 Phone: 505-858-1222 Fax: 505-858-1224 | |
Ms. Maureen Kolomeir, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109 Phone: 505-856-6898 Fax: 505-292-1574 | |
Patricia J Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108 Phone: 505-321-4269 | |
Mrs. Jessika Junick, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 Phone: 505-292-8575 Fax: 505-292-8409 | |
Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220 | |
Jennifer Mack, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 Fax: 505-298-2985 |