PATRICIA M. ODUM N.P. - NPI 1073645107 - Nurse Practitioner in San Luis Obispo, CA

Q: What is Patricia Odum's NPI number?

The NPI number for Patricia Odum is 1073645107. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Patricia Odum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Odum was last updated on January 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Patricia M. Odum N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA M. ODUM N.P. (NPI 1073645107) is an individual family provider in San Luis Obispo, California, licensed in California (15381) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1073645107

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePATRICIA M. ODUMCredential: N.P.

Location Address1555 HIGUERA STSan Luis Obispo, CA 93401-2917

Mailing Address117 W Bunny AveSanta Maria, CA 93458-2805 · (805) 739-3892 · Fax (805) 614-5860

Phone(805) 543-4043

Fax(805) 543-4427

Sole ProprietorNo

Enumeration DateMarch 12, 2007

Last NPPES UpdateJanuary 13, 2015

✔ NPI 1073645107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 15381

1555 HIGUERA ST, San Luis Obispo, CA 93401

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Other Identifiers 1

Other15381CA · Fnp License #

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC CENTRAL COAST HEALTH CENTERS

Clinic/Center (Community Health)