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

Daniella Atieno Odero

Individual provider Physician Assistant · NPI 1174234116

Daniella Atieno Odero is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Professional Services of Holy Cross, a 159-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

5501 Old York Rd # 505
Philadelphia, PA 19141-3018
Phone: (215) 456-7453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174234116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Professional Services Of Holy Cross — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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