ROYCEANNE FAIRCHILD ODOM

SARASOTA, FL
NPI1316465867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  903599)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MS  903599)
363LF0000X Nurse Practitioner, Family
(Licence: CO  0000853-c-np)
Enumeration Date2017-09-05
Last Update Date2025-07-14
Business Address
ROYCEANNE FAIRCHILD ODOM FNP
1507 S TUTTLE AVE
SARASOTA, FL 34239-2608
Phone number: 301-722-0484
Mailing Address
ROYCEANNE FAIRCHILD ODOM FNP
157 BALTIMORE ST SUITE 100
CUMBERLAND, MD 21502
Phone number: 301-722-0484