Individual provider · Type 1 NPI
Amy K. O'Dell, NP
Gerontology Nurse Practitioner · Urbana, IL
NPI number
1043736788
Active
Practice location
1818 E Windsor Rd
Urbana, IL 61802-9566
Mailing address
611 W Park St
Urbana, IL 61801-2501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 277000856 (IL) |
| Adult Health Nurse Practitioner | 363LA2200X | 277000856 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 277000856 (IL) |
| Nurse Practitioner | 363L00000X | 277000856 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1043736788
Amy K. O'Dell, NP's National Provider Identifier is 1043736788, issued on Aug 15, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Urbana, IL. The record was last updated on Oct 10, 2025.