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

Angela Odoerfer

Individual provider Registered Nurse · NPI 1659963916

Angela Odoerfer is a Nurse Practitioner in Kailua, Hawaii. Qualified in 2021, 5 years ago. Practices with Hawaii Dermatology Centers Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Hawaii and Michigan.

Years since qualifying
5
Licensed in
HI, MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

970 N Kalaheo Ave Ste C108
Kailua, HI 96734-1871
Phone: (810) 404-0335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3666 (HI)
Registered Nurse Taxonomy 163W00000X · Licence 4704319074 (MI)

Record details

NPI number1659963916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hawaii Dermatology Centers Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kailua