Provider Demographics
NPI:1922708049
Name:OASIS HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:OASIS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLATUBOSUN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:609-284-2373
Mailing Address - Street 1:22 CREEKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-4809
Mailing Address - Country:US
Mailing Address - Phone:609-284-2373
Mailing Address - Fax:
Practice Address - Street 1:22 CREEKWOOD DR
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-4809
Practice Address - Country:US
Practice Address - Phone:609-284-2373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty