Individual
MARY OSBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3111 N WILSON AVE, ROYAL OAK, MI 48073-3538
(586) 651-0052
Mailing address
3111 N WILSON AVE, ROYAL OAK, MI 48073-3538
(586) 651-0052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704282623
MI
363LF0000X
Family Nurse Practitioner
Primary
4704282623
MI
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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