Individual
SHANNON OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, CNM, WHNP
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3494
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
176B00000X
Midwife
CNM03795
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP020326
OH
Other
Enumeration date
12/02/2016
Last updated
03/06/2025
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