Individual
MIKAYLA NICOLE OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
Mailing address
167 OSBORN ST, PHILADELPHIA, PA 19128-3716
(570) 765-6432
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063404
PA
Other
Enumeration date
03/01/2022
Last updated
01/05/2026
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