Provider Demographics
NPI:1790488047
Name:OSBORNE-FRANKLIN, SHAUN'TAE N
Entity Type:Individual
Prefix:
First Name:SHAUN'TAE
Middle Name:N
Last Name:OSBORNE-FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 W LINDSEY ST APT 23
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4317
Mailing Address - Country:US
Mailing Address - Phone:405-512-2345
Mailing Address - Fax:
Practice Address - Street 1:1325 W LINDSEY ST APT 23
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4317
Practice Address - Country:US
Practice Address - Phone:405-512-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty