Immaculate Adhiambo Odek, CRNP
Nurse Practitioner, Family in Silver Spring, MD. Individual provider (NPI-1).
NPI number1861900607
StatusActive
Last updated in NPPESJan 15, 2018
Details
- NPI
- 1861900607
- Entity type
- Individual (NPI-1)
- Name
- Immaculate Adhiambo Odek
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2018
- Last updated
- Jan 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R150668 | MD | Yes |
Practice location
8601 Manchester Rd Apt 505Silver Spring, MD 20901-6194
Phone 202-517-3038
Mailing address
8601 Manchester Rd Apt 505Silver Spring, MD 20901-6194
Phone 202-517-3038
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