Provider Demographics
NPI:1508546177
Name:SANUSI, OSARUGUE MARTHA (APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:OSARUGUE
Middle Name:MARTHA
Last Name:SANUSI
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9606 WELDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4510
Mailing Address - Country:US
Mailing Address - Phone:832-725-7794
Mailing Address - Fax:
Practice Address - Street 1:9606 WELDRIDGE DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4510
Practice Address - Country:US
Practice Address - Phone:832-725-7794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1129229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily