Individual
DIANA G ODDENINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1931 MEDICAL AVE, HARRISONBURG, VA 22801-3437
(540) 564-5400
(757) 579-8560
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803
(540) 564-5644
(540) 564-6847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024111405
VA
363LF0000X
Family Nurse Practitioner
R208359
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912129842
—
VA
05
—
956402100
—
MD
Enumeration date
05/02/2007
Last updated
07/21/2017
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