Provider Demographics
NPI:1356542906
Name:OSBORNE, JULI MICHELLE (LPN)
Entity type:Individual
Prefix:MS
First Name:JULI
Middle Name:MICHELLE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GOLDSMITH AVE
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-3111
Mailing Address - Country:US
Mailing Address - Phone:631-235-5579
Mailing Address - Fax:
Practice Address - Street 1:1 GOLDSMITH AVE
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-3111
Practice Address - Country:US
Practice Address - Phone:631-235-5579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285585-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse