Individual
RUBY ODAMTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
587 E STATE ROAD 434 UNIT 1025, LONGWOOD, FL 32750-5284
(407) 775-0248
(321) 282-1448
Mailing address
587 E STATE ROAD 434 UNIT 1025, LONGWOOD, FL 32750-5284
(407) 775-0248
(321) 282-1448
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11013701
FL
Other
Enumeration date
06/17/2021
Last updated
04/17/2025
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