Individual provider · Type 1 NPI
Ethelbert Onuefi Odo, NP-C
Gerontology Nurse Practitioner · Duncanville, TX
NPI number
1710402698
Active
Practice location
606 Oriole Blvd Ste 301
Duncanville, TX 75116-3500
Fax (972) 296-2001
Mailing address
611 Pondview Dr
Cedar Hill, TX 75104-6219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP134842 (TX) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1710402698
Ethelbert Onuefi Odo, NP-C's National Provider Identifier is 1710402698, issued on Aug 11, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duncanville, TX. The record was last updated on Aug 11, 2017.