Individual provider · Type 1 NPI
Osarugue Otasowie
Gerontology Nurse Practitioner · New Haven, CT
NPI number
1699363564
Active
Practice location
20 York St
New Haven, CT 06510-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 008983 (CT) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 008983 (CT) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1699363564
Osarugue Otasowie's National Provider Identifier is 1699363564, issued on Jan 6, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Haven, CT. The record was last updated on Apr 26, 2021.