Most Relevant Information
Provider Data
| NPI Number: | 1003429671 |
| Provider Name: | EDITH LAMIRA ODIWO PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 1010544 |
Most Important Dates
| Enumeration Date: | 08/25/2020 |
| Last Updated: | 06/23/2022 |
Provider Practice Location
2200 PASEO VERDE PKWY STE 190
HENDERSON
NV
890522703
Practice Location Phone/Fax
| Phone: | 7025894871 |
| Fax: | 7025894872 |
Provider Mailing Location
9908 CROSWELL ST
KELLER
TX
762442098
Provider Mailing Phone/Fax
| Phone: | 5123645830 |
| Fax: |