Individual
MELCHIZEDEC OUKO BOSIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
590 NAAMANS RD, CLAYMONT, DE 19703-2308
(302) 588-8649
(302) 385-2080
Mailing address
323 HELEN DR, TOWNSEND, DE 19734-2407
(267) 400-0255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010545
DE
Other
Enumeration date
12/05/2023
Last updated
05/13/2024
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