Individual
ANGELA R ODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-6043
(513) 584-4281
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3008194
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
COA 15413 NP
OH
Other
Enumeration date
08/14/2013
Last updated
08/08/2017
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