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

Nicole Marie Odem

Individual provider Medical Physician Assistant · NPI 1477017630

Nicole Marie Odem is a Medical Physician Assistant in Sharon, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

740 E State St
Sharon, PA 16146-3328
Phone: (724) 658-7790
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1477017630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

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