Healthcare Provider Details

I. General information

NPI: 1174372650
Provider Name (Legal Business Name): MS. EUGENIA A. OSEI-ASANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 05/16/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 EXECUTIVE PARK CT
GERMANTOWN MD
20874-2645
US

IV. Provider business mailing address

4 EXECUTIVE PARK CT
GERMANTOWN MD
20874-2645
US

V. Phone/Fax

Practice location:
  • Phone: 301-968-0105
  • Fax:
Mailing address:
  • Phone: 301-968-0105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC006565
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: