GLYNN WHIDDON ODOM CRNA
NPI 1447275490
Nurse Anesthetist, Certified Registered in Fort Payne, AL

Active since July 12, 2006
200 MEDICAL CENTER DRIVE, FORT PAYNE, AL 35967(256) 845-3150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Glynn Whiddon Odom Crna NPPES

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

GLYNN WHIDDON ODOM CRNA (NPI 1447275490) is an individual nurse anesthetist, certified registered in Fort Payne, Alabama, licensed in Alabama (1-020588) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1447275490
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGLYNN WHIDDON ODOMCredential: CRNA
Location Address200 MEDICAL CENTER DRIVEFort Payne, AL 35967
Mailing AddressPo Box 680045Fort Payne, AL 35968-1601 · (256) 635-0991 · Fax (256) 635-0992
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1447275490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in AL · 1-020588
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

200 MEDICAL CENTER DRIVE, Fort Payne, AL 35967

Other Identifiers 1

Medicare UPINR35845AL

Other Providers at the Same Location NPPES 4

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

Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DRIVE
FORT PAYNE, AL 35967
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DRIVE
FORT PAYNE, AL 35967
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DRIVE
FORT PAYNE, AL 35967
Anesthesiology (Pain Medicine)
200 MEDICAL CENTER DRIVE
FORT PAYNE, AL 35967

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447275490, enumerated as an "individual" on July 12, 2006.

The provider is located at 200 MEDICAL CENTER DRIVE FORT PAYNE, AL 35967 and the phone number is (256) 845-3150.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.