Individual
MRS. AUDRA AGENT O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1109 E CHEROKEE AVE, SALLISAW, OK 74955-5035
(918) 790-3309
(918) 775-0587
Mailing address
401 S WHEELER AVE, SALLISAW, OK 74955-6225
(918) 315-1768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114565
OK
Other
Enumeration date
07/22/2018
Last updated
05/10/2023
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