Osborne, Tracy D

Osborne, Tracy D is an individual health care provider with primary practice located at 5330 S Highway 95 , Fort Mohave AZ 86426-9225. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Osborne, Tracy D can be contacted via phone (928) 542-2938.

Contact Information

Primary practice address
5330 S Highway 95 Fort Mohave AZ 86426-9225
Phone: (928) 542-2938
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 47671 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5471065 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4907 Arizona

Profile Details

NPI number 1306187158
LBN Legal business name Osborne, Tracy D
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2013
Last updated Jul 10th, 2026 - about 3 months 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 1306187158 NPPES
Arizona MEDICAID 800185

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