Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Odoerfer

Individual provider Registered Nurse · NPI 1659963916

Angela Odoerfer is a Nurse Practitioner in Kailua, Hawaii. Qualified in 2021, 5 years ago. Practices with Hawaii Dermatology Centers Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Hawaii and Michigan.

Years since qualifying
5
Licensed in
HI, MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

970 N Kalaheo Ave Ste C108
Kailua, HI 96734-1871
Phone: (810) 404-0335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3666 (HI)
Registered Nurse Taxonomy 163W00000X · Licence 4704319074 (MI)

Record details

NPI number1659963916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address970 N Kalaheo Ave Ste C108, Kailua, HI 96734-1871

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hawaii Dermatology Centers Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kailua