Provider Demographics
NPI:1114210184
Name:OSBORNE, SHELBY ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:ELIZABETH
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16172 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-8959
Mailing Address - Country:US
Mailing Address - Phone:970-423-8840
Mailing Address - Fax:970-423-8850
Practice Address - Street 1:16172 HIGHWAY 9
Practice Address - Street 2:SWAN MOUNTAIN WOMEN'S CENTER
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80424
Practice Address - Country:US
Practice Address - Phone:970-423-8840
Practice Address - Fax:970-423-8850
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO55477207V00000X
ARE-9436207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology