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.
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)
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)