Udeozor, Bernadette

Udeozor, Bernadette is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1373. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Udeozor, Bernadette can be contacted via phone (757) 314-7500.

Contact Information

Primary practice address
576 Jefferson Ave Fort Eustis VA 23604-1373
Phone: (757) 314-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X F3429171 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 342917 New York

Profile Details

NPI number 1760973127
LBN Legal business name Udeozor, Bernadette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2018
Last updated Nov 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760973127 NPPES
New York Other 11111111 ED
New York MEDICAID NA ED

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