Provider Demographics
NPI:1154311868
Name:OSIAS, ARMELLE GUITEAU (ARNP)
Entity Type:Individual
Prefix:
First Name:ARMELLE
Middle Name:GUITEAU
Last Name:OSIAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21840 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34431-1641
Mailing Address - Country:US
Mailing Address - Phone:352-286-6553
Mailing Address - Fax:352-559-0587
Practice Address - Street 1:21840 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34431-1641
Practice Address - Country:US
Practice Address - Phone:352-286-6553
Practice Address - Fax:352-559-0587
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9215818363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL307408100Medicaid