Provider Demographics
NPI:1841722139
Name:OSAGIE, OSAHANOR VANESSA (NP-C)
Entity type:Individual
Prefix:
First Name:OSAHANOR
Middle Name:VANESSA
Last Name:OSAGIE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BROADVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1212
Mailing Address - Country:US
Mailing Address - Phone:914-222-3134
Mailing Address - Fax:
Practice Address - Street 1:27 BROADVIEW AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1212
Practice Address - Country:US
Practice Address - Phone:914-835-0073
Practice Address - Fax:914-835-1071
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0117137363L00000X
NY408631363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner