Provider Demographics
NPI:1356234868
Name:UDO, DEBORAH A
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:UDO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:A
Other - Last Name:MEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:601 WESTTOWN RD STE 295
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4991
Mailing Address - Country:US
Mailing Address - Phone:610-344-6255
Mailing Address - Fax:
Practice Address - Street 1:601 WESTTOWN RD STE 180
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4991
Practice Address - Country:US
Practice Address - Phone:610-344-6225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN504660L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse