MEDICARE: MELISSA OWUSU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	942830	NY

General Provider Information

NPI Number	:	1154288314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA OWUSU

Provider Business Mailing Address
First Line	:	1670 E 174TH ST APT 8B
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-1749
Country	:	US
Telephone Number	:	347-656-3232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1670 E 174TH ST APT 8B
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-1749
Country	:	US
Telephone Number	:	347-656-3232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ MELISSA OWUSU ” Practice Location

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