Individual
TAIYE OWAREYE OSAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHMNP
Contact information
Practice address
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303
(213) 605-5124
Mailing address
19725 SHERMAN WAY, WINNETKA, CA 91306-3650
(818) 643-4311
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396116703
—
CA
Enumeration date
10/12/2015
Last updated
09/29/2023
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