Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC26790 | CA |
NPI | 1154320190 |
---|---|
Provider Name | Dr. Nancie Odbert |
First Address | Alameda, CA 94501-4632 |
Second Address | Alameda, CA 94501-4632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 08/07/2007 |