Individual provider · Type 1 NPI

Lisa Gaile Odom, APRN-BC

Family Nurse Practitioner · Liberty, TX

NPI number 1992988539 Active

Practice location

1353 N Travis St
Liberty, TX 77575-3549

Fax (936) 336-2280

Mailing address

4120 Burning Tree Dr
Kettering, OH 45440-1112

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X658834 (TX)
Emergency Registered Nurse 163WE0003X658834 (TX)
Flight Registered Nurse 163WF0300X658834 (TX)
Family Nurse Practitioner Primary 363LF0000X658834 (TX)
Emergency Clinical Nurse Specialist 364SE0003X658834 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1992988539

Lisa Gaile Odom, APRN-BC's National Provider Identifier is 1992988539, issued on Dec 5, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Liberty, TX. The record was last updated on Dec 5, 2007.