Provider Demographics
NPI:1407490238
Name:OSEI, NATASHA AFERIBEA
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:AFERIBEA
Last Name:OSEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-2116
Mailing Address - Country:US
Mailing Address - Phone:646-200-1262
Mailing Address - Fax:
Practice Address - Street 1:2 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:FORDS
Practice Address - State:NJ
Practice Address - Zip Code:08863-2116
Practice Address - Country:US
Practice Address - Phone:646-200-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAG10190044363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner