Provider Demographics
NPI:1376228643
Name:ZAMILUS OSABU, MYRIAME J (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MYRIAME
Middle Name:J
Last Name:ZAMILUS OSABU
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13298 ROBLING CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-3681
Mailing Address - Country:US
Mailing Address - Phone:973-896-4190
Mailing Address - Fax:
Practice Address - Street 1:13298 ROBLING CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112-3681
Practice Address - Country:US
Practice Address - Phone:973-896-4190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185093363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily