Individual provider · Type 1 NPI
Heidi Lisa Odum, APRN
Nurse Practitioner · Manchester, NH
Practice location
1750 Elm St Ste 201C
Manchester, NH 03104-2903
Fax (603) 621-4126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 064437-23 (NH) |
| Nephrology Physician | 207RN0300X | 064437-23 (NH) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1730814260
Heidi Lisa Odum, APRN's National Provider Identifier is 1730814260, issued on Jul 19, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manchester, NH. The record was last updated on Jan 5, 2026.