Individual
MRS. HEATHER W O'DELL
Active
Individual
MRS. HEATHER W O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1241120
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
35091
TN
Other
Enumeration date
10/18/2011
Last updated
03/26/2022
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