Provider Demographics
NPI:1861646846
Name:OSER, LYNNETTE RENAE (RN, CNOR, BHM)
Entity Type:Individual
Prefix:MS
First Name:LYNNETTE
Middle Name:RENAE
Last Name:OSER
Suffix:
Gender:F
Credentials:RN, CNOR, BHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 E MIDWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1516
Mailing Address - Country:US
Mailing Address - Phone:303-469-0017
Mailing Address - Fax:
Practice Address - Street 1:1085 E MIDWAY BLVD
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1516
Practice Address - Country:US
Practice Address - Phone:303-469-0017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO77484163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care