Provider Demographics
NPI:1740070994
Name:OSBORNE, RUBY (DOULA)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:
Last Name:OSBORNE
Suffix:
Gender:
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12075 ROSEMARY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-1350
Mailing Address - Country:US
Mailing Address - Phone:586-248-2857
Mailing Address - Fax:
Practice Address - Street 1:12075 ROSEMARY ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-1350
Practice Address - Country:US
Practice Address - Phone:586-248-2857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty