Carmalene Odle, RN, BSN
Individual provider Active NPI Registered Nurse · Westcliffe, CO
NPI 1962979252 · NPPES record last updated Oct 25, 2018
Key facts
- NPI
- 1962979252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1620983 (CO)
- Practice address
- 704 Edwards Ave
Westcliffe, CO 81252-8588 - Phone
- (719) 783-3369
- NPI assigned
- Oct 25, 2018
- 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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1620983 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1620983 | CO | Yes |
Addresses
Primary practice location
704 Edwards Ave
Westcliffe, CO 81252-8588
Mailing address
PO Box 120
Westcliffe, CO 81252-0120
Phone (719) 783-3369
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528583291 | Medicaid | CO |
Other names
- Carmalene Odle Gallagher
Other providers in Westcliffe, CO
- Historic Pines Youth Ranch LLC
- Patricia Jo Hunter
- Stewart Irving
- Michael Benavidez Jarrett
- Elisa R Livengood
- Goldie Kay Owens
- Peaks of Hope Home Health, LLC
- Peaks of Hope Home Health, LLC
- Rebecca C Penkoff
- Jennifer Lynn Preble
All providers in Westcliffe, CO · Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2018. 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.