Provider Demographics
NPI:1205691375
Name:OSAKWE, UCHE (RN)
Entity type:Individual
Prefix:
First Name:UCHE
Middle Name:
Last Name:OSAKWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5588 CREEK INDIAN DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-6428
Mailing Address - Country:US
Mailing Address - Phone:747-226-8068
Mailing Address - Fax:
Practice Address - Street 1:5588 CREEK INDIAN DR
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-6428
Practice Address - Country:US
Practice Address - Phone:747-226-8068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN296923163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse