Individual
MRS. MARY ANN OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7810 PROVIDENCE RD, SUITE 105, CHARLOTTE, NC 28226-2954
(704) 446-7800
(704) 541-8727
Mailing address
PO BOX 60099, CHARLOTTE, NC 28260-0099
(704) 446-7800
(704) 541-8727
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
54582
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
800035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922033760
—
NC
05
—
7005107
—
NC
05
—
NP2828
—
SC
Enumeration date
07/11/2006
Last updated
10/01/2014
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