Individual
BLAKE ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, APRN
Contact information
Practice address
1501 LOUISVILLE AVE, MONROE, LA 71201-6025
(318) 323-8451
Mailing address
813 WALLACE DEAN RD, WEST MONROE, LA 71291-7754
(318) 237-2832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217824
LA
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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