Individual provider · Type 1 NPI

Nicole Odom

Certified Registered Nurse Anesthetist · Philadelphia, PA

NPI number 1669216602 Active

Practice location

111 S 11th St
Philadelphia, PA 19107-4870

Mailing address

5853 Trestle Way
Knoxville, TN 37918-7083

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XRN787676 (PA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1669216602

Nicole Odom's National Provider Identifier is 1669216602, issued on Jun 24, 2024. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 24, 2024.