Provider Demographics
NPI:1548521347
Name:OSHER, NICHOLAS A (RN)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:A
Last Name:OSHER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7917 SELMA AVE
Mailing Address - Street 2:#227
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-2667
Mailing Address - Country:US
Mailing Address - Phone:323-545-6508
Mailing Address - Fax:323-512-4882
Practice Address - Street 1:7917 SELMA AVE
Practice Address - Street 2:#227
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-2667
Practice Address - Country:US
Practice Address - Phone:323-545-6508
Practice Address - Fax:323-512-4882
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA796893163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse