Provider Demographics
NPI:1124848916
Name:ODON, ERINN
Entity type:Individual
Prefix:
First Name:ERINN
Middle Name:
Last Name:ODON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5413 FAIRFORD CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-3836
Mailing Address - Country:US
Mailing Address - Phone:937-397-0607
Mailing Address - Fax:
Practice Address - Street 1:5413 FAIRFORD CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3836
Practice Address - Country:US
Practice Address - Phone:937-397-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty