Individual
AMY K O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1818 E WINDSOR RD, URBANA, IL 61802-9566
(217) 255-9646
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
277000856
IL
363LA2200X
Adult Health Nurse Practitioner
277000856
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
277000856
IL
363LP2300X
Primary Care Nurse Practitioner
277000856
IL
Other
Enumeration date
08/15/2017
Last updated
10/10/2025
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