Provider Demographics
NPI:1801043336
Name:OSBORNE, CHRISTINA MARIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:VAUGHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:BORGESS MEDICAL CENTER- SOUND PHYSICIANS
Mailing Address - Street 2:1521 GULL RD STE 174
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048
Mailing Address - Country:US
Mailing Address - Phone:269-377-3941
Mailing Address - Fax:269-341-7781
Practice Address - Street 1:BORGESS MEDICAL CENTER- SOUND PHYSICIANS
Practice Address - Street 2:1521 GULL RD STE 174
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048
Practice Address - Country:US
Practice Address - Phone:269-377-3941
Practice Address - Fax:269-341-7781
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704239778363LA2200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health