Healthcare Provider Details

I. General information

NPI: 1124454699
Provider Name (Legal Business Name): MARGARET NDUBUISI OSHAI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6615 BABAK DR
FREDERICK MD
21702-2453
US

IV. Provider business mailing address

6615 BABAK DR
FREDERICK MD
21702-2453
US

V. Phone/Fax

Practice location:
  • Phone: 240-831-1660
  • Fax: 301-662-1342
Mailing address:
  • Phone: 240-831-1660
  • Fax: 301-662-1342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number193398
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN193398
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberR193398
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberR193398
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberR193398
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR193398
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: