Provider Demographics
NPI:1093463556
Name:OSBORNE, TAMARA (DOULA)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 CLEAR CREEK DR APT 301
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1697
Mailing Address - Country:US
Mailing Address - Phone:303-902-0464
Mailing Address - Fax:
Practice Address - Street 1:4060 CLEAR CREEK DR APT 301
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1697
Practice Address - Country:US
Practice Address - Phone:303-902-0464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula