Provider Demographics
NPI:1598336737
Name:OSORNO, VICTORIA DALE (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:DALE
Last Name:OSORNO
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 BRICKELL BAY DR APT 70I
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3585
Mailing Address - Country:US
Mailing Address - Phone:919-418-3587
Mailing Address - Fax:
Practice Address - Street 1:1100 BRICKELL BAY DR APT 70I
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3585
Practice Address - Country:US
Practice Address - Phone:919-418-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014027363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9544558OtherREGISTERED NURSE
F06210003OtherFAMILY NURSE PRACTITIONER
FLAPRN11014027OtherCERTIFIED NURSE PRACTITIONER