Individual
MIRIAM A OSAMMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7030 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-1370
(763) 412-9848
Mailing address
7030 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-1370
(763) 504-2400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7910
MN
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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