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ODELL UPSHAW JR.
NPI 1174038046
Licensed Practical Nurse in Rochester, NY

Active since December 13, 2017
85 MEIGS ST APT 1A, ROCHESTER, NY 14607(585) 448-8539 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odell Upshaw Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODELL UPSHAW JR. (NPI 1174038046) is an individual licensed practical nurse in Rochester, New York, licensed in New York (327329-1) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1174038046
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameODELL UPSHAW JR.
Location Address85 MEIGS ST APT 1ARochester, NY 14607-2054
Mailing Address85 Meigs St Apt 1aRochester, NY 14607-2054 · (585) 448-8539
Phone(585) 448-8539
Sole ProprietorYes
Enumeration DateDecember 13, 2017
✔ NPI 1174038046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 327329-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
85 MEIGS ST APT 1A, Rochester, NY 14607
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odell Upshaw's NPI number?

The NPI number for Odell Upshaw is 1174038046. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Where is Odell Upshaw located?

Odell Upshaw practices at 85 Meigs St Apt 1A, Rochester, NY 14607. The listed phone number is (585) 448-8539.

What is Odell Upshaw's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Odell Upshaw was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.