Provider Demographics
NPI:1457788531
Name:OSBURN, MURLENE NOLLMEYER (APRN)
Entity Type:Individual
Prefix:
First Name:MURLENE
Middle Name:NOLLMEYER
Last Name:OSBURN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40459 PLUM CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WOOD LAKE
Mailing Address - State:NE
Mailing Address - Zip Code:69221-8126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 E HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:NE
Practice Address - Zip Code:68714-6052
Practice Address - Country:US
Practice Address - Phone:402-382-0911
Practice Address - Fax:402-913-3454
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111586363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE111586OtherLICENSE NUMBER
NE10026982400Medicaid