Provider Demographics
NPI:1316379084
Name:OSBORN, ERIN LESLIE (ANP-C)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:LESLIE
Last Name:OSBORN
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:295 MAPLE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TAWAS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48763-9352
Mailing Address - Country:US
Mailing Address - Phone:989-984-3788
Mailing Address - Fax:989-984-3794
Practice Address - Street 1:295 MAPLE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TAWAS CITY
Practice Address - State:MI
Practice Address - Zip Code:48763-9352
Practice Address - Country:US
Practice Address - Phone:989-984-3788
Practice Address - Fax:989-984-3794
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704264068363L00000X, 363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health