Individual provider · Type 1 NPI
Crystal Noel Odegard, PA-C
Physician Assistant · Eagle, ID
Practice location
1079 S Ancona Ave Ste 100
Eagle, ID 83616-7443
Mailing address
1652 W Sunny Slope Dr
Meridian, ID 83642-4336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1982 (ID) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1962081810
Crystal Noel Odegard, PA-C's National Provider Identifier is 1962081810, issued on Apr 7, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eagle, ID. The record was last updated on Apr 7, 2021.