Provider Demographics
NPI:1689004541
Name:OSME, JUNIA (RN)
Entity Type:Individual
Prefix:
First Name:JUNIA
Middle Name:
Last Name:OSME
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 1:418 NW 21ST TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-4159
Mailing Address - Country:US
Mailing Address - Phone:239-822-2310
Mailing Address - Fax:855-427-1528
Practice Address - Street 1:418 NW 21ST TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-4159
Practice Address - Country:US
Practice Address - Phone:239-822-2310
Practice Address - Fax:855-427-1528
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9191947163WA2000X
FL12436310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator