MEDICARE: MARCELLINA NWOSU MD

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	363LA2200X	Adult Health Nurse Practitioner	0024191273	VA
2	363LA2200X	Adult Health Nurse Practitioner	311496	NY
3	363LA2200X	Adult Health Nurse Practitioner	CNP-55239	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891193694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELLINA NWOSU MD

Provider Business Mailing Address
First Line	:	555 E TACHEVAH DR STE 2E204
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-5737
Country	:	US
Telephone Number	:	760-561-7344
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 E TACHEVAH DR STE 2E204
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-5737
Country	:	US
Telephone Number	:	575-395-7246
Fax Number	:

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

Provider Enumeration Date	:	12/10/2014
Last Update Date	:	03/31/2026

Similar Medicare Providers

1518345453 — BEHNAM KACHOUEI D.O.
Practice Location Address:

555 E TACHEVAH DR STE 2E204
PALM SPRINGS, CA
92262-5737

Practice Phone: 760-561-7344
Practice Fax:

1306589684 — CHAN HEE LEE MD
Practice Location Address:

555 E TACHEVAH DR STE 2E204
PALM SPRINGS, CA
92262-5737

Practice Phone: 760-561-7344
Practice Fax:

1134972755 — DR. BIANCA NICOLE OGUES PHARMD
Practice Location Address:

555 E TACHEVAH DR STE 2E204
PALM SPRINGS, CA
92262-5737

Practice Phone: 760-561-7373
Practice Fax:

1114769338 — STEPHANIE MUNOZ
Practice Location Address:

555 E TACHEVAH DR STE 2E204
PALM SPRINGS, CA
92262-5737

Practice Phone: 760-424-8731
Practice Fax:

1750593703 — DAREN LAVEL MARTIN MPT
Practice Location Address:

1977 DEWAR DR , STE. J
ROCK SPRINGS, WY
82901-5737

Practice Phone: 307-382-3228
Practice Fax: 307-382-6886

1780886465 — 2AC HOMEHEALTHCARE
Practice Location Address:

5737 CONSTITUTION AVE
COLORADO SPRINGS, CO
80915-1220

Practice Phone: 171-959-0951
Practice Fax: 719-535-9212

Directions to “ MARCELLINA NWOSU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.