Odille, Nicole Susan

Odille, Nicole Susan is an individual health care provider with primary practice located at 3459 5Th Ave , Pittsburgh PA 15213-3236. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Odille, Nicole Susan can be contacted via phone (412) 647-5177.

Contact Information

Primary practice address
3459 5Th Ave Pittsburgh PA 15213-3236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X SP023617 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP023617 Pennsylvania

Profile Details

NPI number 1275253593
LBN Legal business name Odille, Nicole Susan
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2022
Last updated Nov 21st, 2022 - about 2 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 1275253593 NPPES
Pennsylvania Other SP023617 CRNP

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