Individual
TANA LYNN OSADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
110 GREEN ST, FAYETTEVILLE, NY 13066-2105
(315) 877-4660
Mailing address
110 GREEN ST, FAYETTEVILLE, NY 13066-2105
(315) 877-4660
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
510035
NY
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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