location
search-icon
person
Ms. Tracey Ann Odishoo, CNP
Nurse Practitioner in Woodstock, Illinois
NPI 1942209622

Tracey Ann Odishoo is a Nurse Practitioner based in Woodstock, IL. Tracey Ann Odishoo practices in Woodstock, IL and has the professional credentials of CNP. The NPI Number for Tracey Ann Odishoo is 1942209622 and holds a License No. 209003621 (Illinois).

The current practice location address for Tracey Ann Odishoo is 3701 Doty Rd, Woodstock, IL and can be reached out via phone at 815-338-6600 and via fax at 815-206-1086.

Location: 3701 Doty Rd, Woodstock, IL, 60098-7509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942209622
Provider Name
Tracey Ann Odishoo
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
3701 Doty Rd, Woodstock, IL, 60098-7509
Phone Number
815-338-6600
Fax Number
815-206-1086
Provider Enumeration Date
07/15/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
209003621 01 IL STATE LICENSE
962341 01 IL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
3701 Doty Rd
City
Woodstock
State
Illinois
Zip
60098
Phone Number
815-338-6600
Fax Number
815-206-1086
person
Provider Business Mailing Address Details
Address
3701 Doty Rd
City
Woodstock
State
Illinois
Zip
60098
Phone Number
815-338-6600
Fax Number
815-206-1086
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209003621 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209003621 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209003621 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.