Basic Information
Provider Information
NPI: 1467920934
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSEI
FirstName: MAAME
MiddleName: EKUA
NamePrefix: DR.
NameSuffix:  
Credential: DNP, FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 491 E ALESSANDRO BLVD
Address2:  
City: RIVERSIDE
State: CA
PostalCode: 925086071
CountryCode: US
TelephoneNumber: 9517801835
FaxNumber:  
Practice Location
Address1: 491 E ALESSANDRO BLVD
Address2:  
City: RIVERSIDE
State: CA
PostalCode: 925086071
CountryCode: US
TelephoneNumber: 9517801835
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/02/2018
LastUpdateDate: 08/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X767334CAN Nursing Service ProvidersRegistered Nurse 
363LF0000X95010962CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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