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 |