Individual
MRS. GEORGIA ANNE ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14784 STATE HIGHWAY 30, DOWNSVILLE, NY 13755
(607) 363-2120
(607) 363-2105
Mailing address
PO BOX J, DOWNSVILLE, NY 13755-0912
(607) 363-2120
(607) 363-2105
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
619816-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
NY
Enumeration date
07/25/2019
Last updated
07/25/2019
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