Individual provider · Type 1 NPI
Grace A. Odallo
Gerontology Nurse Practitioner · Chesapeake, VA
NPI number
1093324469
Active
Practice location
3441 Raytee Dr
Chesapeake, VA 23323-1230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0024178802 (VA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1093324469
Grace A. Odallo's National Provider Identifier is 1093324469, issued on Jul 30, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chesapeake, VA. The record was last updated on Jul 30, 2020.