EDITH KUDADZE FNP-BC
NPI 1366108953
Nurse Practitioner - Family in Bronx, NY

Q: What is Edith Kudadze's NPI number?

The NPI number for Edith Kudadze is 1366108953. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Edith Kudadze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Edith Kudadze was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 09, 2021

2564 WILSON AVE, BRONX, NY 10469(347) 231-0401 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Edith Kudadze Fnp-bc NPPES

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

EDITH KUDADZE FNP-BC (NPI 1366108953) is an individual family provider in Bronx, New York, licensed in New York (F347607) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1366108953

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEDITH KUDADZECredential: FNP-BC

Location Address2564 WILSON AVEBronx, NY 10469-5609

Mailing Address2564 Wilson AveBronx, NY 10469-5609 · (347) 231-0401

Phone(347) 231-0401

Sole ProprietorNo

Enumeration DateNovember 9, 2021

NPPES CertifiedNovember 8, 2021

✔ NPI 1366108953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F347607

2564 WILSON AVE, Bronx, NY 10469

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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 Edith Kudadze's NPI number?

The NPI number for Edith Kudadze is 1366108953. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Edith Kudadze located?

Edith Kudadze practices at 2564 Wilson Ave, Bronx, NY 10469. The listed phone number is (347) 231-0401.

What is Edith Kudadze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Edith Kudadze was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.