Healthcare Provider Details

I. General information

NPI: 1447177696
Provider Name (Legal Business Name): HELLEN OSANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3022 JAVIER RD STE 124
FAIRFAX VA
22031-4624
US

IV. Provider business mailing address

3022 JAVIER RD STE 124
FAIRFAX VA
22031-4624
US

V. Phone/Fax

Practice location:
  • Phone: 703-891-2147
  • Fax: 703-891-2146
Mailing address:
  • Phone: 703-891-2147
  • Fax: 703-891-2146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR205644
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: