Individual
AMY J OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
122 CENTER ST, CLAY, WV 25043-7046
(304) 587-7301
(304) 587-2464
Mailing address
PO BOX 147, 122 CENTER ST., CLAY, WV 25043-0147
(304) 587-7301
(304) 587-2464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57277
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57277
WV LICENSE
WV
Enumeration date
04/23/2012
Last updated
06/20/2012
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