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NPI Code Detail

MEDICARE: NOVAPATH INTEGRATIVE HEALTH ODIWO PLLC

MEDICARE: NOVAPATH INTEGRATIVE HEALTH ODIWO PLLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1902792757
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVAPATH INTEGRATIVE HEALTH ODIWO PLLC
Provider Business Mailing Address
First Line : 8440 W LAKE MEAD BLVD STE 208
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-7648
Country : US
Telephone Number : 725-240-0206
Fax Number : 725-244-8042
Provider Business Practice Location Address
First Line : 8440 W LAKE MEAD BLVD STE 208
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-7648
Country : US
Telephone Number : 725-240-0206
Fax Number : 725-244-8042
Authorized Official
Title or Position : OWNER
Name : EDITH ODIWO
Credential : APRN
Telephone Number : 725-240-0206
Provider Enumeration Date : 06/17/2025
Last Update Date : 01/30/2026

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Directions to “NOVAPATH INTEGRATIVE HEALTH ODIWO PLLC ” Practice Location

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