National Provider Identifier
Odell Upshaw Jr.
Odell Upshaw Jr. is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 448-8539.
Source: public NPPES record, last updated December 13, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1174038046
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 13, 2017
- Last Updated
- December 13, 2017
Practice Location
- 85 Meigs St Apt 1A
- Rochester, NY 14607-2054
Phone: (585) 448-8539
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Odell Upshaw Jr. is a licensed practical nurse based in Rochester, New York. Public New York nursing licensure records list his practical nursing license as issued in 2016, and the state Office of the Professions maintains the primary-source system for verifying New York professional licenses.
Full Record
- NPI
- 1174038046
- Entity Type
- Individual
- Last Name
- Upshaw
- First Name
- Odell
- Name Suffix
- Jr.
- Mailing Street Address
- 85 Meigs St Apt 1A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2054
- Mailing Country
- US
- Mailing Phone
- (585) 448-8539
- Practice Street Address
- 85 Meigs St Apt 1A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-2054
- Practice Country
- US
- Practice Phone
- (585) 448-8539
- Enumeration Date
- December 13, 2017
- Last Updated
- December 13, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)