Aubrey F Odell
Individual provider Active NPI Licensed Practical Nurse · Burt, MI
NPI 1497549620 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1497549620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703130582 (MI)
- Practice address
- 10965 Sheridan Rd
Burt, MI 48417-9630 - Phone
- (989) 213-0797
- Fax
- (989) 213-0797
- NPI assigned
- Apr 4, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703130582 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703130582 | MI | Yes |
Addresses
Primary practice location
10965 Sheridan Rd
Burt, MI 48417-9630
Mailing address
10965 Sheridan Rd
Burt, MI 48417-9630
Phone (989) 213-0797
Other providers in Burt, MI
- Elliott & Associates Counseling Services, LLC
- Bsma Hallam
- Mary Joe Ray Kinney
- Sarah B Moore
- James Dean Vanbrocklin
All providers in Burt, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.