Doctor Name: | AMY J OSBORNE |
NPI Number: | 1861759284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-BC |
License Number: | 57277 |
Business Practice Address: | 122 Center St Clay, WV - 250437046 |
Business Phone Number: | 3045877301 |
Business Fax Number: | 3045872464 |
Mailing Address: | Po Box 147, 122 Center St. CLAY |
State: | WV |
Postal Code: | 250430147 |
Phone Number: | 3045877301 |
Fax Number: | 3045872464 |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 57277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |