Provider Demographics
NPI:1619547122
Name:MUASAU, ORIANA CAITLIN (RN)
Entity Type:Individual
Prefix:
First Name:ORIANA
Middle Name:CAITLIN
Last Name:MUASAU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4580 ALLISON DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-3251
Mailing Address - Country:US
Mailing Address - Phone:719-213-5952
Mailing Address - Fax:
Practice Address - Street 1:4580 ALLISON DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-3251
Practice Address - Country:US
Practice Address - Phone:719-213-5952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1649447163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORN.1649447OtherRN LICENSE