Provider Demographics
NPI:1881935864
Name:OSENI, THERESA OGOCHUKU (RN)
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:OGOCHUKU
Last Name:OSENI
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 1:150 W 225TH ST
Mailing Address - Street 2:APT. 10A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5015
Mailing Address - Country:US
Mailing Address - Phone:347-968-0090
Mailing Address - Fax:
Practice Address - Street 1:150 W 225TH ST
Practice Address - Street 2:APT. 10A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5015
Practice Address - Country:US
Practice Address - Phone:347-968-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY665284-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse