Individual
ODETTE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6209 16TH AVE, BROOKLYN, NY 11204-2702
(718) 947-3045
Mailing address
20 HOSPITAL OVAL WEST, VALHALLA, NY 10595-1571
(914) 493-8150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F335890-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403966-01
NY
Other
Enumeration date
11/10/2010
Last updated
04/10/2023
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