Provider Demographics
NPI:1790460897
Name:OSBORNE, VERONICA GAIL-FRAWLEY (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:GAIL-FRAWLEY
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 HOLTON RD STE 500
Mailing Address - Street 2:
Mailing Address - City:NORTH MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-1505
Mailing Address - Country:US
Mailing Address - Phone:231-370-1280
Mailing Address - Fax:
Practice Address - Street 1:2006 HOLTON RD STE 500
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49445-1505
Practice Address - Country:US
Practice Address - Phone:231-370-1280
Practice Address - Fax:231-672-7886
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704316008163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse