Provider Demographics
NPI:1518163682
Name:BRUSCO OSSO, MARIA B (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:B
Last Name:BRUSCO OSSO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10561 HERITAGE FARMS RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6723
Mailing Address - Country:US
Mailing Address - Phone:561-491-8630
Mailing Address - Fax:561-966-1449
Practice Address - Street 1:801 MEADOWS RD
Practice Address - Street 2:SUITE 118
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2346
Practice Address - Country:US
Practice Address - Phone:561-392-4105
Practice Address - Fax:561-391-9355
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLA.R.N.P.1132562363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health