Individual
KAITLYN MARIE ODDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2805 DODD RD STE 100, EAGAN, MN 55121-2160
(651) 241-7733
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10356
MN
363LF0000X
Family Nurse Practitioner
Primary
10356
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2023
Last updated
12/28/2023
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