Individual
ROSANNE L OSOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4201 ST. ANTOINE, STE 7B, DETROIT, MI 48201-2153
(313) 745-2554
(313) 993-0295
Mailing address
1560 E MAPLE RD, SUITE 400- CREDENTIALING, TROY, MI 48083-1138
(313) 745-2554
(313) 993-0295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704132055
MI
363LA2200X
Adult Health Nurse Practitioner
4704132055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4874294
—
MI
01
—
5008661920
BCBSM
MI
Enumeration date
05/16/2006
Last updated
10/27/2016
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