Osborn, Susan Marie

Osborn, Susan Marie is an individual health care provider with primary practice located at 17215 N 72Nd Dr Bldg D , Glendale AZ 85308-8558. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Osborn, Susan Marie can be contacted via phone (480) 214-9000.

Contact Information

Primary practice address
17215 N 72Nd Dr Bldg D Glendale AZ 85308-8558
Phone: (480) 214-9000
Fax: (480) 214-9999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334343 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP7335 Arizona

Profile Details

NPI number 1467481051
LBN Legal business name Osborn, Susan Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467481051 NPPES
Arizona MEDICAID 147058
Arizona Other 000928800001
Arizona Other P019334343
Arizona MEDICAID 02721460
Arizona Other 177750BJ

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