| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PATRICIA A ODHAM | 1750457024 | 2023-11-10 |
Patricia A Odham is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750457024. Registration indicates Patricia A Odham is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Patricia A Odham FNP |
| Practice Office Address | 3121 WRIGHTSVILLE AVE WILMINGTON, NC US |
| Practice Office Telephone | 9107696053 |
| Practice Office Fax | 9107699048 |
| Mailing Address | 1000 MEDICAL CENTER DR WILMINGTON, NC 284017353 US |
| Business Telephone | 9109704673 |
| Business Fax | 9109704670 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3121 Wrightsville Ave | Wilmington, NC 284034111 | 9107696053 / 9107699048 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 5001162
NC |