Provider Demographics
NPI:1215664040
Name:OSEI, DORA ASAMANIWA (RN)
Entity type:Individual
Prefix:MS
First Name:DORA
Middle Name:ASAMANIWA
Last Name:OSEI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DORA
Other - Middle Name:ASAMANIWA
Other - Last Name:OSEI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:87 COUNTRY CLUB BLVD APT 79
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-1529
Mailing Address - Country:US
Mailing Address - Phone:508-762-6951
Mailing Address - Fax:
Practice Address - Street 1:87 COUNTRY CLUB BLVD APT 79
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-1529
Practice Address - Country:US
Practice Address - Phone:508-762-6951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2338224163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse