CINDY DENISE ODEN


Address: 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318
Phone: 4042075601

CINDY DENISE ODEN (NPI# 1124597646) 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) 1124597646
Entity Type Individual
Full Name CINDY DENISE ODEN
Practice Address 1903 Drew Dr Nw
Apt 2200
Atlanta
GA 30318
Mailing Address 1903 Drew Dr Nw Apt 2200
Atlanta
GA 30318-3536
Practice Telephone 4042075601
Enumeration Date 2018-11-14
Last Update Date 2018-11-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN209789 GA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN209789 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1903 DREW DR NW
APT 2200
City ATLANTA
State GA
Zip Code 30318

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ATLANTA
Zip Code 30318

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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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