Healthcare Provider Details

I. General information

NPI: 1255252326
Provider Name (Legal Business Name): BLESSING OSAWARU MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10455 E ULYSSES AVE
MESA AZ
85212-5568
US

IV. Provider business mailing address

10455 E ULYSSES AVE
MESA AZ
85212-5568
US

V. Phone/Fax

Practice location:
  • Phone: 647-829-5966
  • Fax:
Mailing address:
  • Phone: 647-829-5966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number332983
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: