Individual
MS. SUSAN MARIE OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17215 N 72ND DR BLDG D, GLENDALE, AZ 85308-8558
(480) 214-9000
(480) 214-9999
Mailing address
2051 W CHANDLER BLVD STE 5, CHANDLER, AZ 85224-6239
(480) 214-9000
(480) 214-9999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP7335
AZ
363LF0000X
Family Nurse Practitioner
334343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000928800001
HEALTH NOW
—
05
—
02721460
—
NY
05
—
147058
—
AZ
01
—
177750BJ
PREFERRED CARE
—
01
—
P019334343
EXCELLUS PLANS
—
Enumeration date
07/03/2006
Last updated
02/22/2021
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