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Amy Rebecca Odom, NP
Gerontology Nurse Practitioner in Mobile, Alabama
NPI 1750863726

Amy Rebecca Odom is a Gerontology Nurse Practitioner based in Mobile, AL and is specialized in Gerontology. Amy Rebecca Odom practices in Mobile, AL and has the professional credentials of NP. The NPI Number for Amy Rebecca Odom is 1750863726 and holds a License No. 1-140750 (Alabama).

The current practice location address for Amy Rebecca Odom is 5955 Airport Blvd, Mobile, AL and can be reached out via phone at 251-633-0573 and via fax at 251-633-7367. You can also correspond with Amy Rebecca Odom through the mailing address at PO BOX 7987, MOBILE, AL - 36670-0987 (mailing address contact number: 251-633-0573).

Location: 5955 Airport Blvd, Mobile, AL, 36670-0987
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Provider Profile Details
NPI Number
1750863726
Provider Name
Amy Rebecca Odom
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5955 Airport Blvd, Mobile, AL, 36670-0987
Phone Number
251-633-0573
Fax Number
251-633-7367
Provider Enumeration Date
09/05/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
224261 05 AL
512-17406 01 AL BCBS OF AL
A03845A 01 AL MEDICARE
225622 05 AL
512-17405 01 AL BCBS OF AL
630799312 01 AL HUMANA CHOICECARE
Z54984 01 AL VIVA HEALTH
6297709 01 AL AETNA
P02140037 01 AL RR MEDICARE
05331824 05 MS
223807 05 AL
225017 05 AL
225084 05 AL
512-17400 01 AL BCBS OF AL
512-17403 01 AL BCBS OF AL
512-17404 01 AL BCBS OF AL
6906123 01 AL UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
5955 Airport Blvd
City
State
Zip
36608-3135
Phone Number
251-633-0573
Fax Number
251-633-7367
person
Provider Business Mailing Address Details
Address
5955 Airport Blvd
City
State
Zip
36608-3135
Phone Number
251-633-0573
Fax Number
251-633-7367
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
1-140750 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
1-140750 (Alabama)
Definition
Definition to come...
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