Most Relevant Information
Provider Data
| NPI Number: | 1003458944 |
| Provider Name: | JOSEPH LOUIS OMEDEO NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 903594 |
Most Important Dates
| Enumeration Date: | 10/11/2019 |
| Last Updated: | 10/11/2019 |
Provider Practice Location
423 CENTRAL AVE
COLDWATER
MS
386183915
Practice Location Phone/Fax
| Phone: | 6626227011 |
| Fax: |
Provider Mailing Location
423 CENTRAL AVE
COLDWATER
MS
386183915
Provider Mailing Phone/Fax
| Phone: | 6626227011 |
| Fax: |