1295190353 NPI number — LUCY CHINENYE OSAWARU APRN, PMHNP-BC

Table of content: LUCY CHINENYE OSAWARU APRN, PMHNP-BC (NPI 1295190353)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295190353 NPI number — LUCY CHINENYE OSAWARU APRN, PMHNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OSAWARU
Provider First Name:
LUCY
Provider Middle Name:
CHINENYE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN, PMHNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295190353
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2080 N STATE HIGHWAY 360 STE 236
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRAND PRAIRIE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75050-1467
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-677-0224
Provider Business Mailing Address Fax Number:
844-465-6338

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2080 N STATE HIGHWAY 360 STE 236
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRAND PRAIRIE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75050-1467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-677-0224
Provider Business Practice Location Address Fax Number:
844-465-6338
Provider Enumeration Date:
12/16/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  F402955 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X , with the licence number: AP8901 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X , with the licence number: AP129717 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)