Provider Demographics
NPI:1093553117
Name:OSUJI, ROSE CHINWE (FNP)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:CHINWE
Last Name:OSUJI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 HAVERWOOD LN APT 1808
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4416
Mailing Address - Country:US
Mailing Address - Phone:615-886-8411
Mailing Address - Fax:
Practice Address - Street 1:4909 HAVERWOOD LN APT 1808
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-4416
Practice Address - Country:US
Practice Address - Phone:615-886-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95030874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily