Individual provider · Type 1 NPI
Fadi Said Fares Odetallah
Registered Nurse · Oklahoma City, OK
Practice location
7409 Kaylee Way
Oklahoma City, OK 73132-4803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 228354 (OK) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1700720901
Fadi Said Fares Odetallah's National Provider Identifier is 1700720901, issued on Apr 17, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 17, 2026.