Provider Demographics
NPI:1689213050
Name:OSMAN, BILIKISU (FNP-BC)
Entity Type:Individual
Prefix:
First Name:BILIKISU
Middle Name:
Last Name:OSMAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3451 ANDREW CT APT 202
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2341
Mailing Address - Country:US
Mailing Address - Phone:301-996-4885
Mailing Address - Fax:
Practice Address - Street 1:8839 RITCHBORO RD
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-2667
Practice Address - Country:US
Practice Address - Phone:301-996-4885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR177135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily