Individual
MS. LYNNE E. ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP PSYCHIATRY
Contact information
Practice address
133 CAMBRIDGE STREET, SYRACUSE, NY 13210-2205
(315) 218-5963
(315) 218-5963
Mailing address
133 CAMBRIDGE STREET, SYRACUSE, NY 13210-2205
(315) 218-5963
(315) 218-5963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2547141
NY
363LF0000X
Family Nurse Practitioner
332404
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400498
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011447
UBH PROV NUMBER
—
01
—
02218871
MEDICAID ELDER MEDICAL
NY
05
—
02218871
—
NY
01
—
0809365
CIGNA
—
01
—
094387546
POMCO
—
01
—
11378483
CAQH
—
01
—
155190
VALUE OPTIONS
—
01
—
2547141
RN
—
01
—
300298007
VALUE OPTIONS PIN
—
01
—
328380
MENTAL HEALTH NETWORK
—
01
—
50001405
MEDICARE RAILROAD CHHHC
—
01
—
500014206
MEDICARE RAILROAD
—
01
—
500021448
MEDICARE RAILROAD
—
01
—
5825
TOTAL CARE ID
—
01
—
6227587
UN HEALTH CARE SERV PROVIDER NUMBER
—
01
—
711721
MVP
—
01
—
BA0346
MEDICARE NUMBER HOTZER ENTERPRISES
—
01
—
CC2142
MEDICARE
—
01
—
F3324040
FNP
—
01
—
F4004981
NPP
—
Enumeration date
10/05/2005
Last updated
03/07/2023
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