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MS. NICOLE E. ODOM NP-C
NPI 1578074647
Nurse Practitioner in Royal Oak, MI

Active since October 17, 2017
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-0633(248) 898-3393 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2021, Oct 17, 2017 (2 updates tracked since 2017).

About Ms. Nicole E. Odom Np-c NPPES

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

MS. NICOLE E. ODOM NP-C (NPI 1578074647) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704296896) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1578074647
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. NICOLE E. ODOMCredential: NP-C
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont BlvdSouthfield, MI 48033-3849 · (248) 577-3313 · Fax (248) 577-3302
Phone(248) 898-0633
Fax(248) 898-3393
Sole ProprietorNo
Enumeration DateOctober 17, 2017
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1578074647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704296896
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3601 W 13 MILE RD, Royal Oak, MI 48073
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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.

AMIT BAHL MD, MPH
Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Oakland County (248) 898-0575
CATHERINE LEE PA
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 423-2481
DR. APARNA HARIHARAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-9060
TERRENCE METZ
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000
NICOLE MARIJANOVICH MD
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-7999
VINAYATA MANUBALLA KARETI D.O.
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (661) 948-0803
WESLEY RICHARD BARNES M.D.
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-2800
MELISSA JOY DREWRY M.D.
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Odom's NPI number?

The NPI number for Nicole Odom is 1578074647. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Nicole Odom located?

Nicole Odom practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-0633.

What is Nicole Odom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Nicole Odom was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.