Provider Demographics
NPI:1093023293
Name:OSBORN, CATHIE NMN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CATHIE
Middle Name:NMN
Last Name:OSBORN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CATHIE
Other - Middle Name:
Other - Last Name:OSBORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1516 WALDREN HILL RD
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9060
Mailing Address - Country:US
Mailing Address - Phone:740-493-3072
Mailing Address - Fax:
Practice Address - Street 1:1516 WALDREN HILL RD
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9060
Practice Address - Country:US
Practice Address - Phone:740-493-3072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH168572163W00000X
OHRN168572163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health