Provider Demographics
NPI:1952106791
Name:OSUNDE, SARAH (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:OSUNDE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 PRAIRIE DOG FORK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2867
Mailing Address - Country:US
Mailing Address - Phone:857-492-1653
Mailing Address - Fax:
Practice Address - Street 1:2026 DIVISION ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8058
Practice Address - Country:US
Practice Address - Phone:360-376-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088179163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse