MARY ODEFADEHAN FNP-C NPI 1881212157

NPI Information

NPI: 1881212157
Provider Name: MARY ODEFADEHAN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1005 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 787-3734
Get Directions

Mary Odefadehan, FNP-C is a family nurse practitioner in Arlington Heights, IL. Mary Odefadehan, FNP-C NPI is 1881212157. 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:

1005 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL
ZIP 60005-144
Phone: (847) 787-3734

The enumeration date for this NPI number is 7/13/2020 and was last updated on 7/13/2020.

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	209021315	ILLINOIS	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: 11/14/2023

NPI Synchronization or Removal

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