Provider Demographics
NPI:1114459732
Name:OSSEI, OSARUGIE COURAGE (APRN-FNP-C)
Entity type:Individual
Prefix:
First Name:OSARUGIE
Middle Name:COURAGE
Last Name:OSSEI
Suffix:
Gender:F
Credentials:APRN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10622 RUNAWAY LN
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2420
Mailing Address - Country:US
Mailing Address - Phone:703-589-9964
Mailing Address - Fax:
Practice Address - Street 1:11615 ANGUS RD STE 104R
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4146
Practice Address - Country:US
Practice Address - Phone:035-899-9647
Practice Address - Fax:571-252-7100
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184318363LF0000X, 363LP0808X
TXF03170517363LF0000X
TXAP133854363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty