Provider Demographics
NPI:1790186484
Name:OSGOOD, SETH (FNP)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:OSGOOD
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2520 BROADWAY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1140
Mailing Address - Country:US
Mailing Address - Phone:210-595-1019
Mailing Address - Fax:210-251-3194
Practice Address - Street 1:24 AIRPORT RD STE 302
Practice Address - Street 2:
Practice Address - City:WEST LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03784-1663
Practice Address - Country:US
Practice Address - Phone:888-644-7668
Practice Address - Fax:603-856-0372
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP126443363LF0000X
NH075358-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily