Provider Demographics
NPI:1679728059
Name:OGDEN, CHERYL DENISE (RN)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENISE
Last Name:OGDEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-3478
Mailing Address - Country:US
Mailing Address - Phone:518-274-5143
Mailing Address - Fax:518-691-9317
Practice Address - Street 1:1801 6TH AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-3478
Practice Address - Country:US
Practice Address - Phone:518-274-5143
Practice Address - Fax:518-691-9317
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY781589163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)