Healthcare Provider Details

I. General information

NPI: 1437987922
Provider Name (Legal Business Name): BRIGETTE OHENE ODURO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6457 REFLECTIONS DR
DUBLIN OH
43017-2352
US

IV. Provider business mailing address

6457 REFLECTIONS DR
DUBLIN OH
43017-2352
US

V. Phone/Fax

Practice location:
  • Phone: 614-714-5750
  • Fax:
Mailing address:
  • Phone: 614-714-5750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0037138
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.490749
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: