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

Mrs. Crystal Noel Odegard, PA-C

Individual provider Physician Assistant · NPI 1962081810

Mrs. Crystal Noel Odegard, PA-C is a Physician Assistant in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1079 S Ancona Ave Ste 100
Eagle, ID 83616-7443
Phone: (208) 853-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1982 (ID)

Record details

NPI number1962081810
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

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