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

Odell Upshaw Jr.

Individual provider Licensed Practical Nurse · NPI 1174038046

Odell Upshaw Jr. is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

85 Meigs St Apt 1A
Rochester, NY 14607-2054
Phone: (585) 448-8539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 327329-1 (NY)

Record details

NPI number1174038046
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2017
Last updated in NPPESDecember 13, 2017

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