Provider Demographics
NPI:1366652612
Name:OSBORNE, ANN F (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:F
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:14109 RIVERCREST DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-1516
Mailing Address - Country:US
Mailing Address - Phone:501-225-3836
Mailing Address - Fax:501-225-8705
Practice Address - Street 1:4 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3896
Practice Address - Country:US
Practice Address - Phone:501-225-3836
Practice Address - Fax:501-225-8705
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARPA-209363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical