IndividualActive
Amy O'Dell, NP
NPI 1043736788 · Gerontology Nurse Practitioner · Urbana, IL
Provider details
- NPI number
- 1043736788
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 277000856 (IL)
Mailing address
611 W Park St
Urbana, IL 61801-2501
Registry dates
- Enumerated
- 2017-08-15
- Last updated
- 2025-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.