MEDICARE: MS. VICTORIA OSAYI CNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	71007950A	IN
2	363LW0102X	Women's Health Nurse Practitioner	APRNCNP019530	OH
3	363LW0102X	Women's Health Nurse Practitioner	71007950A	IN
4	163W00000X	Registered Nurse	172221-30	WI
5	163W00000X	Registered Nurse	041382882	IL

General Provider Information

NPI Number	:	1467756163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VICTORIA OSAYI CNP

Provider Business Mailing Address
First Line	:	1100 REID PARKWAY
Second Line	:	MEDICAL STAFF SERVICES
City	:	RICHMOND
State	:	IN
Zip	:	47374
Country	:	US
Telephone Number	:	765-935-8802
Fax Number	:	765-983-3219

Provider Business Practice Location Address
First Line	:	1050 REID PKWY STE 220
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-1160
Country	:	US
Telephone Number	:	765-962-9541
Fax Number	:	765-966-5952

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

Provider Enumeration Date	:	01/10/2011
Last Update Date	:	06/28/2024

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