Individual
MRS. LINDA LEE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN PMHNP-BC
Contact information
Practice address
441 S LIVERNOIS RD, SUITE 205, ROCHESTER HILLS, MI 48307-2584
(248) 608-8800
(248) 608-2490
Mailing address
2886 SHOREWOOD BLVD, FORT GRATIOT, MI 48059-3128
(810) 357-1103
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704164713
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008606200
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/10/2006
Last updated
05/12/2014
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