Provider Demographics
NPI:1447715032
Name:ODELL, ANDREE M (NP)
Entity type:Individual
Prefix:
First Name:ANDREE
Middle Name:M
Last Name:ODELL
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 N MORTON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-8820
Mailing Address - Country:US
Mailing Address - Phone:317-559-2055
Mailing Address - Fax:844-297-7072
Practice Address - Street 1:2625 N MORTON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-8820
Practice Address - Country:US
Practice Address - Phone:317-559-2055
Practice Address - Fax:844-297-7072
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009715A363LF0000X
IN28179656A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse