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NPI Code Detail

MEDICARE: OWEN OSAGIE PMHNP (APRN)

MEDICARE: OWEN OSAGIE PMHNP (APRN)
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner217120OK

General Provider Information

NPI Number : 1770331050
Entity Type Code : Individual
Provider Name (Legal Business Name) : OWEN OSAGIE PMHNP (APRN)
Provider Business Mailing Address
First Line : 4730 COLLEGE DR
Second Line :
City : VERNON
State : TX
Zip : 76384-4009
Country : US
Telephone Number : 940-552-9901
Fax Number :
Provider Business Practice Location Address
First Line : 4730 COLLEGE DR
Second Line :
City : VERNON
State : TX
Zip : 76384-4009
Country : US
Telephone Number : 940-552-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2024
Last Update Date : 01/05/2026

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