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Individual

TIMOTHY MICHAEL OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP, PMHNP-BC

Contact information

Practice address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 387-2100
Mailing address
1494 CHURCHES RD, LEWISBURG, PA 17837-7306
(570) 768-2008

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027514
PA

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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