Individual
DR. FATIMA ODETALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP/PMHNP-BC
Contact information
Practice address
65 E MALTBIE AVE, SUFFERN, NY 10901-6007
(901) 590-7680
Mailing address
65 E MALTBIE AVE, SUFFERN, NY 10901-6007
(901) 590-7680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18374
TN
363LF0000X
Family Nurse Practitioner
F338723
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
18374
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401694
NY
Other
Enumeration date
05/16/2014
Last updated
11/17/2020
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