| Doctor Name: | MS. CARLY M OSBORNE |
| NPI Number: | 1104007525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 01288316 |
| Business Practice Address: | 136 Mountainview Blvd Basking Ridge, NJ - 079203444 |
| Business Phone Number: | 9735423300 |
| Business Fax Number: | |
| Mailing Address: | 522 Essex Ave, BOONTON |
| State: | NJ |
| Postal Code: | 070051124 |
| Phone Number: | 9736477908 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 08/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 01288316 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |