Centro, Odyzza Jane

Centro, Odyzza Jane is an individual health care provider with primary practice located at 8081 Innovation Park Dr Ste 500 , Fairfax VA 22031-4867. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Centro, Odyzza Jane can be contacted via phone (571) 472-7040.

Contact Information

Primary practice address
8081 Innovation Park Dr Ste 500 Fairfax VA 22031-4867
Phone: (571) 472-7040
Fax: (571) 472-7041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0008268 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110008245 Virginia

Profile Details

NPI number 1104583947
LBN Legal business name Centro, Odyzza Jane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2021
Last updated Mar 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers