Doctor Name: | MRS. DONNA FOX ODEM |
NPI Number: | 1205850054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 68457 |
Business Practice Address: | 326 W Elm St Graham, NC - 272532806 |
Business Phone Number: | 3362261416 |
Business Fax Number: | |
Mailing Address: | 326 W Elm St, GRAHAM |
State: | NC |
Postal Code: | 272532806 |
Phone Number: | 3362261416 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 11/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 68457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |