Odum, Patricia M.

Odum, Patricia M. is an individual health care provider with primary practice located at 1555 Higuera St , San Luis Obispo CA 93401-2917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Odum, Patricia M. can be contacted via phone (805) 543-4043.

Contact Information

Primary practice address
1555 Higuera St San Luis Obispo CA 93401-2917
Phone: (805) 543-4043
Fax: (805) 543-4427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15381 California

Profile Details

NPI number 1073645107
LBN Legal business name Odum, Patricia M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jan 13th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073645107 NPPES
California Other 15381 FNP LICENSE #

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