MEDICARE: NGOZI PATIENCE OSAGIE RN

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	941289	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1140661	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871074591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NGOZI PATIENCE OSAGIE RN

Provider Business Mailing Address
First Line	:	10440 SOUTH DR APT 2409
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-2816
Country	:	US
Telephone Number	:	781-215-3002
Fax Number	:

Provider Business Practice Location Address
First Line	:	10440 SOUTH DR APT 2409
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-2816
Country	:	US
Telephone Number	:	781-215-3002
Fax Number	:

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

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	12/18/2023

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Directions to “ NGOZI PATIENCE OSAGIE RN” Practice Location

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