Provider Demographics
NPI:1477295152
Name:OSBORNE, BRIAUNA N (QMHS)
Entity Type:Individual
Prefix:
First Name:BRIAUNA
Middle Name:N
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4517 RENAISSANCE PKWY
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5701
Mailing Address - Country:US
Mailing Address - Phone:216-360-9343
Mailing Address - Fax:216-360-9345
Practice Address - Street 1:4517 RENAISSANCE PKWY
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5701
Practice Address - Country:US
Practice Address - Phone:216-360-9343
Practice Address - Fax:216-360-9345
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator