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CORIANNE L O'DONNELL PA-C
NPI 1548259211
Physician Assistant - Medical in Bangor, ME

Active since October 17, 2005
103 SKYLINE RD, BANGOR, ME 04401(610) 574-5628 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Corianne L O'donnell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORIANNE L O'DONNELL PA-C (NPI 1548259211) is an individual medical provider in Bangor, Maine, licensed in Massachusetts (1959) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1548259211
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCORIANNE L O'DONNELLCredential: PA-C
Location Address103 SKYLINE RDBangor, ME 04401-2158
Mailing Address103 Skyline RdBangor, ME 04401-2158 · (610) 574-5628
Phone(610) 574-5628
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateJanuary 6, 2011
✔ NPI 1548259211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · 1959
103 SKYLINE RD, Bangor, ME 04401
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Other Identifiers 4

Medicare UPINQ55644
Other019590Connecticare
OtherP00336251Railroad Medicare
Medicare PINAP2506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corianne O'donnell's NPI number?

The NPI number for Corianne O'donnell is 1548259211. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Corianne O'donnell located?

Corianne O'donnell practices at 103 Skyline Rd, Bangor, ME 04401. The listed phone number is (610) 574-5628.

What is Corianne O'donnell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Corianne O'donnell was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.