# SARA R ODLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366783102
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1118146 | KY | — |
| 363L00000X | Nurse Practitioner | 3007997 | KY | Yes |

## Other

- **Enumeration date:** 03/04/2013
- **Last updated:** 05/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201174260 | — | IN |
| 01 | — | 50049829 | PASSPORT | KY |
| 05 | — | 7100247870 | — | KY |