Individual provider · NPI-1

Rachel Akoth Odillia

Nurse Practitioner · Columbus, GA

NPI number1376296087
StatusActive
Last updated in NPPESOct 22, 2024

Details

NPI
1376296087
Entity type
Individual (NPI-1)
Name
Rachel Akoth Odillia
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 2, 2022
Certification date
Oct 22, 2024
Last updated
Oct 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN331108GAYes
163WG0000X Registered Nurse, General PracticeRN2359830MA

Practice location

2430 Brookstone Centre Pkwy
Columbus, GA 31904-4501

Phone 706-494-7700

Mailing address

19 Tacoma St
Worcester, MA 01605-3516

Other practice locations

19 Tacoma St
Worcester, MA 01605-3516

Phone 508-852-1805

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