Individual
DR. MARYANN KATHARYN OSUCHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, FNP-BC
Contact information
Practice address
1301 8TH ST, LAS VEGAS, NM 87701-4221
(505) 398-1160
Mailing address
PO BOX 832, LAS VEGAS, NM 87701-0832
(505) 398-1160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP00739
NM
363LF0000X
Family Nurse Practitioner
Primary
R35143
NM
Other
Enumeration date
02/27/2007
Last updated
08/02/2024
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