Mary Louise E Osevala, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP009932 Issued in PA

Practice address

1000 N Front St
Wormleysburg, PA 17043-1034

Phone

(717) 731-0101

Fax

(717) 731-8359

NPI assigned

May 3, 2006

Last updated

May 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1265490411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEVALA",
        "first_name": "MARY LOUISE",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "SP009932",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103243800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thach N Nguyen, M.D.
• Vu Quoc Nguyen
• Alison Margaret O'Dea, ACNP-BC, FNP-C
• Sola Omoya, LBS
• Mayra Ortiz-Segura
• Priyanka Patel, O.D.
• Sunil Rameshbhai Patel, MD
• Kylee Paules
• David G Pawlush, MD
• Adrianna Perez

• Nurse Practitioner in Wormleysburg, PA
• Providers in Wormleysburg, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.