Healthcare Provider Details

I. General information

NPI: 1235612060
Provider Name (Legal Business Name): ANITA OSEI WILSON RN-BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANITA OSEI OWUSU-ANSAH

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 STUYVESANT AVE STE 2
UNION NJ
07083-6029
US

IV. Provider business mailing address

1021 STUYVESANT AVE STE 2
UNION NJ
07083-6029
US

V. Phone/Fax

Practice location:
  • Phone: 908-258-8096
  • Fax:
Mailing address:
  • Phone: 908-258-8096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number26NR16626800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number26NR16626800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: