NICOLE ODOM

PHILADELPHIA, PA
NPI1669216602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN787676)
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
NICOLE ODOM
111 S 11TH ST
PHILADELPHIA, PA 19107-4870
Phone number: 215-955-6000
Mailing Address
NICOLE ODOM
5853 TRESTLE WAY
KNOXVILLE, TN 37918-7083
Phone number: 801-502-8194