Odell, Alexandria Nicole

Odell, Alexandria Nicole is an individual health care provider with primary practice located at 70 N Country Rd Ste 105 , Port Jefferson NY 11777-2161. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Odell, Alexandria Nicole can be contacted via phone (631) 642-0609.

Contact Information

Primary practice address
70 N Country Rd Ste 105 Port Jefferson NY 11777-2161
Phone: (631) 642-0609
Fax: (631) 642-0588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F350150 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F35015-01 New York

Profile Details

NPI number 1588389324
LBN Legal business name Odell, Alexandria Nicole
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2022
Last updated Oct 16th, 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.

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