| NPI | 1376118158 |
|---|---|
| Former Name | CARRIE ANN OSBORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4006013) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28190743A) |
| 363L00000X Nurse Practitioner (Licence: IN 71011434A) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-07-10 |