Provider Demographics
NPI:1851992283
Name:OSBORNE, LINDA D
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:OSBORNE
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 1:57 GEORGIAN DR SW
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3806
Mailing Address - Country:US
Mailing Address - Phone:740-877-4242
Mailing Address - Fax:
Practice Address - Street 1:57 GEORGIAN DR SW
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43068-3806
Practice Address - Country:US
Practice Address - Phone:740-877-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker