Individual
TAYLOR ODNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3701 LAFAYETTE RD, EVANSDALE, IA 50707
(319) 274-7060
Mailing address
110 CHRISTOPHER CT, FAIRBANK, IA 50629-7549
(319) 239-5616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133794
IA
363L00000X
Nurse Practitioner
Primary
A133794
IA
Other
Enumeration date
02/02/2018
Last updated
07/26/2018
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