Provider Demographics
NPI:1083878938
Name:SASO, GEORGE OWUSU (RN)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:OWUSU
Last Name:SASO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 143RD LN NW
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-5697
Mailing Address - Country:US
Mailing Address - Phone:612-462-0505
Mailing Address - Fax:
Practice Address - Street 1:5021 143RD LN NW
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-5697
Practice Address - Country:US
Practice Address - Phone:612-462-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-1566161163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health