LAURA LYNN ODOM FNP NPI 1528436243

NPI Information

NPI: 1528436243
Provider Name: LAURA LYNN ODOM, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1610 S CHADBOURNE ST
SAN ANGELO, TX
ZIP 76903
Phone: (325) 658-5339
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Laura Lynn Odom, FNP is a family nurse practitioner in San Angelo, TX with 9 years of experience. Laura Lynn Odom, FNP NPI is 1528436243. 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:

1610 S CHADBOURNE ST
SAN ANGELO, TX
ZIP 76903-510
Phone: (325) 658-5339
Fax: (325) 659-8534

The NPI 1528436243 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 9/11/2015 and was last updated on 3/6/2023.

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	AP129056	TEXAS	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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