Vanessa Udeagha
Licensed Practical Nurse in Yonkers, NY. Individual provider (NPI-1).
NPI number1164025581
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1164025581
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Udeagha
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 339356 | NY | Yes |
Practice location
31 Victor StYonkers, NY 10701-7178
Phone 678-768-8170
Mailing address
31 Victor StYonkers, NY 10701-7178
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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