MEDICARE: YVONNE ALAO-OSEMWENGIE

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	1021358	TX

General Provider Information

NPI Number	:	1366300196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE ALAO-OSEMWENGIE

Provider Business Mailing Address
First Line	:	5812 PRAIRIE VIEW CT
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-8772
Country	:	US
Telephone Number	:	469-288-5141
Fax Number	:

Provider Business Practice Location Address
First Line	:	5812 PRAIRIE VIEW CT
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-8772
Country	:	US
Telephone Number	:	469-288-5141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ YVONNE ALAO-OSEMWENGIE ” Practice Location

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