Individual
ODETTE NTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-7000
Mailing address
3714 FORT LINCOLN DR NE, WASHINGTON, DC 20018-4303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN1009092
DC
363LG0600X
Gerontology Nurse Practitioner
RN1009092
DC
364ST0500X
Transplantation Clinical Nurse Specialist
RN1009092
DC
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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