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Individual

VERNON ANTHONY OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
610 N FIFTH ST, GALLUP, NM 87301-5306
(505) 863-3120
(505) 443-8344
Mailing address
HC 61 BOX 1028, RAMAH, NM 87321-9600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP-02704
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02704
NM

Other

Enumeration date
07/01/2015
Last updated
12/24/2025
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