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Contact Information

MADELINE PATTERSON ODELL, RD
1400 BLACKBERRY DR
FAIRBANKS, AK99712-1810
 Phone: 303-520-8975
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MADELINE PATTERSON ODELL · (Female)

NPI Number 1477755908
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 06/05/2007
Last updated 12/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 163
  • AK Medicaid DT7897
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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