Active NPIIndividual providerSole proprietor

Benson Odulla, LPN

Licensed Practical Nurse in East Orange, New Jersey

NPI Number1750611554
Practice location
50 N Munn Ave Apt 5, East Orange, NJ 07017-4151
Fax
—
Last updated
December 30, 2009

Benson Odulla is a Licensed Practical Nurse based in East Orange, NJ. Benson Odulla practices in East Orange, NJ and has the professional credentials of LPN. The NPI Number for Benson Odulla is 1750611554 and holds a License No. 26NP05905500 (NJ). The current practice location address for Benson Odulla is 50 N Munn Ave Apt 5, East Orange, NJ 07017-4151 and can be reached out via phone at 800-950-6066.

Provider Profile Details

NPI Number
1750611554
Provider Name
Benson Odulla
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
50 N Munn Ave Apt 5, East Orange, NJ 07017-4151
Phone Number
800-950-6066
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2009
Last Update Date
December 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 N Munn Ave Apt 5
East Orange, NJ 07017-4151
Zip
07017-4151
Phone Number
800-950-6066
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
50 N Munn Ave Apt 5
East Orange, NJ 07017-4151
City
East Orange
State
NJ
Zip
07017-4151
Phone Number
800-950-6066

License Information

License Number
26NP05905500
License State
NJ
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Benson Odulla, LPN?

The NPI number of Benson Odulla, LPN is 1750611554. It was assigned on December 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Benson Odulla, LPN?

Benson Odulla, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NJ under license number 26NP05905500.

Where does Benson Odulla, LPN practice?

The practice location is 50 N Munn Ave Apt 5, East Orange, NJ 07017-4151. The office can be reached at 800-950-6066 (phone).

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 1750611554 directly on the NPPES registry website.

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