Doctor Name: | PATRICIA GOAD OSBORNE |
NPI Number: | 1043646904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 0024170673 |
Business Practice Address: | 702 Pine St Hillsville, VA - 243431405 |
Business Phone Number: | 2767284311 |
Business Fax Number: | 2767280901 |
Mailing Address: | 702 Pine St, HILLSVILLE |
State: | VA |
Postal Code: | 243431405 |
Phone Number: | 2767284311 |
Fax Number: | 2767280901 |
NPI Enumeration Date: | 09/23/2013 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024170673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |