O'Dell, Angela Lea

O'Dell, Angela Lea is an individual health care provider with primary practice located at 502 W Saint Louis St , West Frankfort IL 62896-1968. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. O'Dell, Angela Lea can be contacted via phone (618) 937-3400.

Contact Information

Primary practice address
502 W Saint Louis St West Frankfort IL 62896-1968
Phone: (618) 937-3400
Fax: (618) 997-9324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 277000354 Illinois

Profile Details

NPI number 1831196120
LBN Legal business name O'Dell, Angela Lea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 1st, 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

Identifiers

StateTypeNumberIssuer
All States NPI 1831196120 NPPES
Indiana MEDICAID 200458610

Popular Providers