Provider Demographics
NPI:1891298097
Name:OSBORNE, AMANDA (LICENSED MIDWIFE)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 FLOWERREE ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-6019
Mailing Address - Country:US
Mailing Address - Phone:406-465-8330
Mailing Address - Fax:406-324-7505
Practice Address - Street 1:1311 11TH AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3919
Practice Address - Country:US
Practice Address - Phone:406-417-3438
Practice Address - Fax:888-411-1895
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1165176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife