Odell, Nicole D

Odell, Nicole D is an individual health care provider with primary practice located at 267 N Canyon Dr , Gooding ID 83330-5500. 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, Nicole D can be contacted via phone (208) 934-4446.

Contact Information

Primary practice address
267 N Canyon Dr Gooding ID 83330-5500
Phone: (208) 934-4446
Fax: (208) 934-4442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0995359-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9236016 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-CNP67350 Idaho

Profile Details

NPI number 1083025225
LBN Legal business name Odell, Nicole D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2014
Last updated Feb 11th, 2021 - about 5 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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