Healthcare Provider Details

I. General information

NPI: 1265199442
Provider Name (Legal Business Name): SYLVIA ANN OGDEN RN CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 WASHINGTON AVE
NEWPORT NEWS VA
23607-2530
US

IV. Provider business mailing address

529 CORALBERRY DR
NORTH CHESTERFIELD VA
23236-2454
US

V. Phone/Fax

Practice location:
  • Phone: 757-327-4183
  • Fax: 757-327-4226
Mailing address:
  • Phone: 804-240-3029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number21110316
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: