LOLITA ALANNA ODIE NPI 1710512744

NPI Information

NPI: 1710512744
Provider Name: LOLITA ALANNA ODIE
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4647 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 358-5510
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Lolita Alanna Odie is a gerontology nurse practitioner in San Antonio, TX with 5 years of experience. Lolita Alanna Odie NPI is 1710512744. 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:

4647 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229-403
Phone: (210) 358-5510
Fax: (210) 358-8536

The NPI 1710512744 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 3/10/2020 and was last updated on 2/26/2021.

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	363L00000X	Nurse Practitioner		AP142785	TEXAS	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP142785	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: 4/28/2024

NPI Synchronization or Removal

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