Individual
HEIDI LISA ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1750 ELM ST STE 201C, MANCHESTER, NH 03104-2903
(603) 641-5800
(603) 621-4126
Mailing address
1750 ELM ST STE 201C, MANCHESTER, NH 03104-2903
(603) 641-5800
(603) 621-4126
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
064437-23
NH
363L00000X
Nurse Practitioner
Primary
064437-23
NH
Other
Enumeration date
07/19/2022
Last updated
01/05/2026
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