Individual
MARIAM ODIGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
231 W HANCOCK ST # 63, MILLEDGEVILLE, GA 31061-3375
(360) 523-2820
Mailing address
PO BOX 896, AUBURN, GA 30011-0896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN284179
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN284179
GA
Other
Enumeration date
02/08/2024
Last updated
07/07/2025
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