Provider Demographics
NPI:1174378350
Name:OSEI, PRISCILLA (BSN)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:OSEI
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MASSEY ST APT 27
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-2432
Mailing Address - Country:US
Mailing Address - Phone:609-933-3309
Mailing Address - Fax:
Practice Address - Street 1:89 CHADWICK AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-3236
Practice Address - Country:US
Practice Address - Phone:609-933-3309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-20
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR22534200163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health