Healthcare Provider Details

I. General information

NPI: 1952725152
Provider Name (Legal Business Name): AMINA ISMAIL OSMAN PMHNP-BC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 BALDWIN CRES NE
WASHINGTON DC
20018-3849
US

IV. Provider business mailing address

2511 BALDWIN CRES NE
WASHINGTON DC
20018-3849
US

V. Phone/Fax

Practice location:
  • Phone: 703-966-4043
  • Fax:
Mailing address:
  • Phone: 703-966-4043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP966602
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN966602
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: