Individual
CYNTHIA C. ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R748528
MS
367A00000X
Advanced Practice Midwife
Primary
R748528
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116409
—
MS
05
—
569900143
—
AL
01
—
730-19137
BCBS OF AL
AL
Enumeration date
11/22/2005
Last updated
04/24/2017
Update your record
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