Provider Demographics
NPI:1295190353
Name:OSAWARU, LUCY CHINENYE (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:CHINENYE
Last Name:OSAWARU
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 N STATE HIGHWAY 360 STE 236
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-1467
Mailing Address - Country:US
Mailing Address - Phone:214-677-0224
Mailing Address - Fax:844-465-6338
Practice Address - Street 1:2080 N STATE HIGHWAY 360 STE 236
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-1467
Practice Address - Country:US
Practice Address - Phone:214-677-0224
Practice Address - Fax:844-465-6338
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF402955363LP0808X
AZAP8901363LP0808X
TXAP129717363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health