Individual
KELLEY ELIZABETH OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5855 BREMO RD, SUITE 706, RICHMOND, VA 23226-1926
(804) 285-8206
(804) 288-6602
Mailing address
2369 STAPLES MILL RD, SUITE 200, RICHMOND, VA 23230-2918
(804) 285-4485
(804) 285-8332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168719
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699850032
—
VA
Enumeration date
10/26/2006
Last updated
11/02/2011
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