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NPI Code Detail

MEDICARE: ANDREE M ODELL NP

MEDICARE: ANDREE M ODELL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71009715AIN
2163W00000XRegistered Nurse28179656AIN

General Provider Information

NPI Number : 1447715032
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREE M ODELL NP
Provider Business Mailing Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-436-9060
Provider Business Practice Location Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-235-9735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2019
Last Update Date : 11/04/2025

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