MEDICARE: ANNAMARIA ODDO

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN.451913	OH
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0030884	OH

General Provider Information

NPI Number	:	1467120550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNAMARIA ODDO

Provider Business Mailing Address
First Line	:	3737 EASTON MARKET # 1668
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-6023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3737 EASTON MARKET # 1668
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-6023
Country	:	US
Telephone Number	:	614-371-2303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	02/18/2025

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Directions to “ ANNAMARIA ODDO ” Practice Location

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