Healthcare Provider Details

I. General information

NPI: 1114459732
Provider Name (Legal Business Name): OSARUGIE COURAGE OSSEI APRN-FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2017
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 REPUBLIC PKWY
MESQUITE TX
75150-6903
US

IV. Provider business mailing address

10622 RUNAWAY LN
GREAT FALLS VA
22066-2420
US

V. Phone/Fax

Practice location:
  • Phone: 35-899-9647
  • Fax: 571-252-7100
Mailing address:
  • Phone: 703-589-9964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024184318
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP133854
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF03170517
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024184318
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: