MARIKO LEE ODHNER NPI 1073880621

NPI Information

NPI: 1073880621
Provider Name: MARIKO LEE ODHNER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
269 UNION ST
LYNN, MA
ZIP 01901
Phone: (781) 596-2502
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Mariko Lee Odhner is a family nurse practitioner in Lynn, MA. Mariko Lee Odhner NPI is 1073880621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

269 UNION ST
LYNN, MA
ZIP 01901-314
Phone: (781) 596-2502
Fax: (781) 596-3966

The NPI 1073880621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2011 and was last updated on 12/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP37010	RHODE ISLAND	No
2	363LF0000X	Nurse Practitioner	Family	2268187	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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