Individual
MRS. LADONNA LEE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8850
(276) 988-6050
Mailing address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8850
(276) 988-6050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166072
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010260884
—
VA
05
—
3810000533
—
WV
Enumeration date
11/10/2005
Last updated
02/05/2019
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