Individual
MRS. NICOLE D ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4446
(208) 934-4442
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4446
(208) 934-4442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN.0995359-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APRN-CNP67350
ID
363LF0000X
Family Nurse Practitioner
ARNP9236016
FL
Other
Enumeration date
05/09/2014
Last updated
02/11/2021
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