Individual
HOLLY NICOLE ODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2017028239
MO
Other
Enumeration date
09/16/2017
Last updated
10/02/2024
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