Individual
NICOLE SUSAN ODILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3459 5TH AVE, PITTSBURGH, PA 15213-3236
(412) 647-5177
Mailing address
3459 5TH AVE, PITTSBURGH, PA 15213-3236
(412) 647-5177
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
SP023617
PA
363L00000X
Nurse Practitioner
Primary
SP023617
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP023617
CRNP
PA
Enumeration date
08/29/2022
Last updated
11/21/2022
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