Provider Demographics
NPI:1417406026
Name:OSEH, MARIE CARLINE (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:CARLINE
Last Name:OSEH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:MARIE
Other - Middle Name:CARLINE
Other - Last Name:DESIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:20523 NW 8TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169
Mailing Address - Country:US
Mailing Address - Phone:786-223-1744
Mailing Address - Fax:
Practice Address - Street 1:20523 NW 8TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-2381
Practice Address - Country:US
Practice Address - Phone:786-223-1744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9214680163W00000X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily