Individual provider · Type 1 NPI
Eghosa Odobo
Family Nurse Practitioner · North Las Vegas, NV
NPI number
1346653508
Active
Practice location
6900 Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
903 Shaftoe St NW
Kennesaw, GA 30152-6999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN201454 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346653508
Eghosa Odobo's National Provider Identifier is 1346653508, issued on Jun 5, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Las Vegas, NV. The record was last updated on Jun 11, 2014.