Healthcare Provider Details

I. General information

NPI: 1306140538
Provider Name (Legal Business Name): SUSAN OSAYI-ADAMS DNP, APNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2011
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 CAMINO DEL RIO N STE 320
SAN DIEGO CA
92108-1691
US

IV. Provider business mailing address

2655 CAMINO DEL RIO N STE 320 SUITE 320
SAN DIEGO CA
92108-1691
US

V. Phone/Fax

Practice location:
  • Phone: 847-977-0001
  • Fax:
Mailing address:
  • Phone: 847-977-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number358142
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95035448
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1210028
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11044338
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.029377
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14961-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: