Odell, Betty

Odell, Betty is an individual health care provider with primary practice located at 200 Medical Park Dr Suite 145 Ne Oncology, Concord NC 28025-2982. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Odell, Betty can be contacted via phone (704) 783-1370.

Contact Information

Primary practice address
200 Medical Park Dr Suite 145 Ne Oncology Concord NC 28025-2982
Phone: (704) 783-1370
Fax: (704) 783-1389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 900108 North Carolina

Profile Details

NPI number 1033186929
LBN Legal business name Odell, Betty
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Dec 4th, 2007 - about 17 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 1033186929 NPPES
North Carolina Other 299028B MEDICARE PTAN

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