O'Dell, Staci S

O'Dell, Staci S is an individual health care provider with primary practice located at Healthcare For The Homeless Of Milwaukee, Inc 210 West Capitol Drive, Milwaukee WI 53212. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. O'Dell, Staci S can be contacted via phone (414) 727-6320.

Contact Information

Primary practice address
Healthcare For The Homeless Of Milwaukee, Inc 210 West Capitol Drive Milwaukee WI 53212
Phone: (414) 727-6320
Fax: (414) 727-6321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 131460-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3433-33 Wisconsin

Profile Details

NPI number 1083688295
LBN Legal business name O'Dell, Staci S
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083688295 NPPES
Iowa MEDICAID 0058230

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