Provider Demographics
NPI:1467044008
Name:OSAE, RITA P
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:P
Last Name:OSAE
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 1:1730 112TH ST SW APT A202
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-8796
Mailing Address - Country:US
Mailing Address - Phone:425-219-7795
Mailing Address - Fax:
Practice Address - Street 1:1730 112TH ST SW APT A202
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-8796
Practice Address - Country:US
Practice Address - Phone:425-219-7795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider