Provider Demographics
NPI:1275662520
Name:OSBORNE, VIRGINIA GIANELLA (ND)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:GIANELLA
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13904 MEADOW VIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945
Mailing Address - Country:US
Mailing Address - Phone:530-272-5190
Mailing Address - Fax:
Practice Address - Street 1:13904 MEADOW VIEW DR
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-9007
Practice Address - Country:US
Practice Address - Phone:530-272-5190
Practice Address - Fax:530-477-0772
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR886175F00000X
CA322175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath