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Individual
MRS. JOELLE ELIZABETH ODDEN
Active
Individual
MRS. JOELLE ELIZABETH ODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-180541-1
MN
163WP0200X
Pediatric Registered Nurse
RN60108879
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 4234
MN
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP60320778
WA
Other
Enumeration date
10/27/2012
Last updated
10/03/2016
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