Angela Lea O'Dell in West Frankfort - Nurse Practitioner

Angela Lea O'Dell - NPI 1831196120

Angela Lea O'Dell is a Nurse Practitioner in West Frankfort, Illinois. Angela Lea O'Dell practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Angela Lea O'Dell is 1831196120. The last update date is 2023-12-01.

Angela Lea O'Dell's current location address is 502 W Saint Louis St, West Frankfort, Illinois. You can contact this provider via phone number 6189373400 and fax number 6189979324. The mailing address for Angela Lea O'Dell is 502 W Saint Louis St, West Frankfort, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Lea O'Dell
Address 502 W Saint Louis St, West Frankfort, Illinois
Phone Number 6189373400
Fax Number 6189979324
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1831196120
Provider Enumeration Date 2005-07-01
Last Updated Date 2023-12-01

Provider Mailing Address Detail

Address 502 W Saint Louis St
City West Frankfort
State Illinois (IL)
Post Code 6289619680
Phone Number 6189373400
Fax Number 6189979324

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 277000354
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200458610 IN --

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FAQs about Angela Lea O'Dell

What is the unique 10-digit identifier code issued to Angela Lea O'Dell by the Centers for Medicare & Medicaid Services?

The Angela Lea O'Dell has been assigned the NPI (National Provider Identifier) 1831196120 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Angela Lea O'Dell is located?

The Angela Lea O'Dell is situated at the following address: 502 W Saint Louis St, West Frankfort, IL, 6289619680.

What is Angela Lea O'Dell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Angela Lea O'Dell's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1831196120 to Angela Lea O'Dell?

The Angela Lea O'Dell received its 1831196120 assignment from the Centers for Medicare & Medicaid Services on 2005-07-01.

When was the information related to Angela Lea O'Dell most recently updated or refreshed?

The details pertaining to the Angela Lea O'Dell, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-12-01.

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