Individual
BETTY ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 MEDICAL PARK DR, SUITE 145 NE ONCOLOGY, CONCORD, NC 28025-2982
(704) 783-1370
(704) 783-1389
Mailing address
200 MEDICAL PARK DR, SUITE 145 NE ONCOLOGY, CONCORD, NC 28025-2982
(704) 783-1370
(704) 783-1389
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900108
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299028B
MEDICARE PTAN
NC
Enumeration date
03/01/2006
Last updated
12/04/2007
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