ANGELA WINDOM O'DONNELL APRN CNM WHNP-BC NPI 1033540463

NPI Information

NPI: 1033540463
Provider Name: ANGELA WINDOM O'DONNELL, APRN, CNM, WHNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
22455 FLORA PARKE XING
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 452-4790
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Angela Windom O'donnell, APRN, CNM, WHNP-BC is a primary care nurse practitioner in Fernandina Beach, FL with 8 years of experience. Angela Windom O'donnell, APRN, CNM, WHNP-BC NPI is 1033540463. 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:

22455 FLORA PARKE XING
FERNANDINA BEACH, FL
ZIP 32034-000
Phone: (904) 452-4790

The NPI 1033540463 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 12/11/2013 and was last updated on 3/17/2023.

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	363LW0102X	Nurse Practitioner	Women's Health	9337495	FLORIDA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	ARNP9337495	FLORIDA	No
3	367A00000X	Advanced Practice Midwife				No
4	363LP2300X	Nurse Practitioner	Primary Care	99337495	FLORIDA	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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