Provider Demographics
NPI:1841800257
Name:OSBORNE, DOROTHY L (APRN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:L
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:APRN, 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 1:6420 ALTAMESA BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3553
Mailing Address - Country:US
Mailing Address - Phone:817-912-9000
Mailing Address - Fax:817-912-9010
Practice Address - Street 1:6420 ALTAMESA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3553
Practice Address - Country:US
Practice Address - Phone:817-912-9000
Practice Address - Fax:817-912-9010
Is Sole Proprietor?:No
Enumeration Date:2020-08-01
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145337363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care