Provider Demographics
NPI:1184872491
Name:OSAKWE, MELVA IVONNE (RNC , BS,MS)
Entity type:Individual
Prefix:MISS
First Name:MELVA
Middle Name:IVONNE
Last Name:OSAKWE
Suffix:
Gender:F
Credentials:RNC , BS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140562
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-0562
Mailing Address - Country:US
Mailing Address - Phone:718-981-7861
Mailing Address - Fax:718-981-6852
Practice Address - Street 1:148 BAY ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2503
Practice Address - Country:US
Practice Address - Phone:718-981-7861
Practice Address - Fax:718-981-6852
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186119163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse