Individual
MORGAN LORRAINE COOK OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 620-5250
(844) 803-7399
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 215-2005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53333
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53333
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922715705
—
ID
Enumeration date
11/01/2022
Last updated
03/04/2025
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