Individual
MS. ODALYS PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
508 N 9TH ST UNIT 142, IMMOKALEE, FL 34142-2948
(239) 658-3000
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9292597
FL
363LG0600X
Gerontology Nurse Practitioner
9292597
FL
Other
Enumeration date
02/01/2018
Last updated
04/26/2023
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