MEDICARE: OBASI NURSING SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1326976903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OBASI NURSING SERVICES, INC

Provider Business Mailing Address
First Line	:	1120 TECHNOLOGY DR STE 113B
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63368-2201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 BROOKSIDE FOREST CT
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-5089
Country	:	US
Telephone Number	:	314-427-2033
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NMAJU AZU OBASI
Credential	:	PMHNP-BC
Telephone Number	:	314-327-2033

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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