Individual
MICHELLE L. OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1313 N MAIN ST, BEAVER DAM, KY 42320-8957
(270) 274-9928
(270) 274-0134
Mailing address
1313 N MAIN ST, BEAVER DAM, KY 42320-8957
(270) 274-9928
(270) 274-0134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3005288
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3005288
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009748
—
IN
05
—
7100029630
—
KY
Enumeration date
08/27/2007
Last updated
09/14/2023
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