Amy K O'dell
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
1818 E Windsor Rd
Urbana
, Illinois 61802-9566
Amy K O'dell
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
1818 E Windsor Rd
Urbana
, Illinois 61802-9566
(217) 383-6941
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Amy K O'dell
- 611 W Park St
- Urbana, IL
- Zip : 61801-2529
- Phone : (217) 383-6941
Second Address
- Amy K O'dell
- 1818 E Windsor Rd
- Urbana, IL
- Zip : 61802-9566
- Phone : (217) 255-9646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | 209016201 | IL |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 209016201 | IL |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 209016201 | IL |
National Provider Identifier
| NPI | 1043736788 |
|---|---|
| Provider Name | Amy K O'dell |
| First Address | Urbana, IL 61801-2529 |
| Second Address | Urbana, IL 61802-9566 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2017 |
| Last Update Date | 15/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.