Mrs. Carly M Odesina, APRN
Nurse Practitioner, Family in Portland, Connecticut
1548610959- Practice location
- 270 Main St, Portland, CT 06480-1836
- Phone
- 860-342-3392
- Fax
- 860-358-8658
- Last updated
- September 14, 2018
Carly M Odesina is a Nurse Practitioner, Family based in Portland, CT. Carly M Odesina practices in Portland, CT and has the professional credentials of APRN. The NPI Number for Carly M Odesina is 1548610959 and holds a License No. 12.006642 (CT). The current practice location address for Carly M Odesina is 270 Main St, Portland, CT 06480-1836 and can be reached out via phone at 860-342-3392 and via fax at 860-358-8658.
Provider Profile Details
- NPI Number
- 1548610959
- Provider Name
- Carly M Odesina
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 270 Main St, Portland, CT 06480-1836
- Phone Number
- 860-342-3392
- Fax Number
- 860-358-8658
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 16, 2016
- Last Update Date
- September 14, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 270 Main St
Portland, CT 06480-1836 - City
- Portland
- State
- Connecticut
- Zip
- 06480-1836
- Phone Number
- 860-342-3392
- Fax Number
- 860-358-8658
Provider Business Mailing Address Details
- Address
- 28 Crescent St
Middletown, CT 06457-3654 - City
- Middletown
- State
- CT
- Zip
- 06457-3654
- Phone Number
- 860-358-4820
- Fax Number
- 860-358-8661
License Information
- License Number
- 12.006642
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Portland, CT
View all Nurse Practitioner, Family providers in Portland →Frequently Asked Questions
What is the NPI number of Mrs. Carly M Odesina, APRN?
The NPI number of Mrs. Carly M Odesina, APRN is 1548610959. It was assigned on June 16, 2016 and is currently active in the NPPES registry.
What is the specialty of Mrs. Carly M Odesina, APRN?
Mrs. Carly M Odesina, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12.006642.
Where does Mrs. Carly M Odesina, APRN practice?
The practice location is 270 Main St, Portland, CT 06480-1836. The office can be reached at 860-342-3392 (phone) or 860-358-8658 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548610959 directly on the NPPES registry website.