DWAYNE WILSON ODLE
NPI 1083412340
Registered Nurse - Diabetes Educator in Rushville, IN
Active since March 04, 2025
About Dwayne Wilson Odle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DWAYNE WILSON ODLE (NPI 1083412340) is an individual diabetes educator provider in Rushville, Indiana, licensed in Indiana (28191858A) and active in the NPI registry since March 2025.
NPPES Registry Identity
NPI1083412340
Entity TypeIndividualMale
Primary Taxonomy163WD0400X
Provider Legal NameDWAYNE WILSON ODLE
Location Address1300 N MAIN STRushville, IN 46173-1198
Mailing Address1300 N Main StRushville, IN 46173-1198 · (765) 932-7692
Phone(765) 932-7692
Sole ProprietorNo
Enumeration DateMarch 4, 2025
NPPES CertifiedMarch 4, 2025
✔ NPI 1083412340 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in IN · 28191858A
1300 N MAIN ST, Rushville, IN 46173
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Specialist/Technologist (Athletic Trainer)
1300 N MAIN ST
RUSHVILLE, IN 46173
RUSHVILLE, IN 46173
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083412340, enumerated as an "individual" on March 04, 2025.
The provider is located at 1300 N MAIN ST RUSHVILLE, IN 46173 and the phone number is (765) 932-7692.
Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.