Healthcare Provider Details

I. General information

NPI: 1477104750
Provider Name (Legal Business Name): OSHEKA HANSEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 SANGER RD STE A-2000
ORLANDO FL
32827-7400
US

IV. Provider business mailing address

PO BOX 102222
ATLANTA GA
30368-2222
US

V. Phone/Fax

Practice location:
  • Phone: 407-735-5695
  • Fax: 407-851-4634
Mailing address:
  • Phone: 239-274-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11004271
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: