Provider Demographics
NPI:1538787437
Name:OWUSU, LOUISA MENSAH (RN)
Entity type:Individual
Prefix:
First Name:LOUISA
Middle Name:MENSAH
Last Name:OWUSU
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 1:2045 DOUBLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-7009
Mailing Address - Country:US
Mailing Address - Phone:770-853-9558
Mailing Address - Fax:678-388-0843
Practice Address - Street 1:2045 DOUBLE CREEK DR
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-7009
Practice Address - Country:US
Practice Address - Phone:770-853-9558
Practice Address - Fax:678-388-0843
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN187916163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN187916OtherRN