Provider Demographics
NPI:1447807359
Name:OSEI, EDWARD K
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:K
Last Name:OSEI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KWABENA
Other - Middle Name:
Other - Last Name:ADU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 FRONT ST # 207
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-8357
Mailing Address - Country:US
Mailing Address - Phone:614-507-6808
Mailing Address - Fax:614-852-4540
Practice Address - Street 1:24 FRONT ST # 207
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-8357
Practice Address - Country:US
Practice Address - Phone:614-507-6808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-25
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025424363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health