Provider Demographics
NPI:1417837683
Name:NORDE, OCEPHA SOPHONIE
Entity type:Individual
Prefix:
First Name:OCEPHA
Middle Name:SOPHONIE
Last Name:NORDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PARK AVE APT 9B
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6223
Mailing Address - Country:US
Mailing Address - Phone:737-221-7018
Mailing Address - Fax:
Practice Address - Street 1:9 PARK AVE APT 9B
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-6223
Practice Address - Country:US
Practice Address - Phone:737-221-7018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY982508-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse