Odom, Riley

Odom, Riley is an individual health care provider with primary practice located at 559 Capitol Blvd , Saint Paul MN 55103-2101. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is his primary health care specialty. Odom, Riley can be contacted via phone (651) 232-2000.

Contact Information

Primary practice address
559 Capitol Blvd Saint Paul MN 55103-2101
Phone: (651) 232-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 5737 Minnesota

Profile Details

NPI number 1437659190
LBN Legal business name Odom, Riley
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2018
Last updated Mar 22nd, 2018 - about 8 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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