Healthcare Provider Details

I. General information

NPI: 1700748761
Provider Name (Legal Business Name): BLESSING OSAGIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PENOBSCOT ST
WORCESTER MA
01606-1087
US

IV. Provider business mailing address

6 PENOBSCOT ST
WORCESTER MA
01606-1087
US

V. Phone/Fax

Practice location:
  • Phone: 508-333-5531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN10011215
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: