Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Samson Ebho Osebor, RN

Individual provider Registered Nurse · NPI 1578298907

Mr. Samson Ebho Osebor, RN is a Nurse Practitioner in Waltham, Massachusetts. Qualified in 2022, 4 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

240 Bear Hill Rd Ste 104
Waltham, MA 02451-1026
Phone: (617) 340-3559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 235 Wellesley St Ste 1, Weston, MA 02493-1571 — (781) 768-7000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2311226 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2311226 (MA)

Record details

NPI number1578298907
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address667 Main St Apt 29, Woburn, MA 01801-2377

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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