MRS. GRACE A ODALLO


Address: 3441 Raytee Dr, Chesapeake, VA 23323-1230
Phone: 7573721912

MRS. GRACE A ODALLO (NPI# 1093324469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093324469
Entity Type Individual
Full Name MRS. GRACE A ODALLO
Practice Address 3441 Raytee Dr
Chesapeake
VA 23323-1230
Practice Telephone 7573721912
Mailing Telephone 7573721912
Enumeration Date 2020-07-30
Last Update Date 2020-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
0024178802 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3441 RAYTEE DR
City CHESAPEAKE
State VA
Zip Code 23323-1230

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1053403816 Cathy L. Rearden Dentist 2346 Cedar Road, Chesapeake, VA 23323 2006-09-29
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1528040474 Dr George E Berryman Dds Dentist 838 Old George Washington Hwy, Suite C, Chesapeake, VA 23323 2005-11-16
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952963829 Christina Lynn Amendolare Nurse Practitioner 1090 Harwich Dr, Chesapeake, VA 23322-9535 2019-07-01
1801396981 Penny Lea Ramsey Nurse Practitioner 11950 Maccorkle Ave, Chesapeake, WV 25315-1135 2018-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831706597 Martha Luz Alejandro-bird Nurse Practitioner 120 Kings Way Ste &3300, Williamsburg, VA 23185-2505 2020-09-28
1285240648 Stephanie Williams Hatch Nurse Practitioner 304 Homestead Rd, Franklin, VA 23851-1345 2020-09-21
1346852639 Britteny Nicole Stone-joel Nurse Practitioner 614 Rolfe Street, Hampton, VA 23661 2020-08-19
1558989186 Olivia Brooke Wright Nurse Practitioner 2451 Midtown Ave Apt 1317, Alexandria, VA 22303-1437 2020-07-09
1467070342 Amanda K Whitley Nurse Practitioner 401 Gordon Ave, Bristol, VA 24201-4106 2020-07-08
1194341792 Tina Fulcher Nurse Practitioner 13300 Burley Ridge Ln, Chester, VA 23831-7119 2020-06-19
1366067373 Luke Balmer Nurse Practitioner 3402 Upper Tillman Way, Powhatan, VA 23139-4349 2020-06-15
1174158539 Monica Kristine Thompson Nurse Practitioner 6340 Miller Dr, Alexandria, VA 22315-3512 2020-03-05
1326670100 Kristyn Dolores Fox Nurse Practitioner 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 2020-02-10
1962034066 Meredith Cespedes Soriano Nurse Practitioner 42624 Freistadt Sq, Sterling, VA 20166-2610 2020-02-06
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Competitor

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City CHESAPEAKE
Zip Code 23323

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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