Provider Demographics
NPI:1407101603
Name:OSINLOYE, GENEVIEVE SHARON (NP)
Entity Type:Individual
Prefix:MRS
First Name:GENEVIEVE
Middle Name:SHARON
Last Name:OSINLOYE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10922-A SOUTH TRYON STREET
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-4152
Mailing Address - Country:US
Mailing Address - Phone:980-321-5231
Mailing Address - Fax:980-321-5238
Practice Address - Street 1:10922 S TRYON ST
Practice Address - Street 2:SUITE A
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-4151
Practice Address - Country:US
Practice Address - Phone:980-321-5231
Practice Address - Fax:980-321-5238
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC204584363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health