Provider Demographics
NPI:1780305649
Name:OSBORNE, LINDA MARIE (DNP)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 CAMDEN HLS W
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-8170
Mailing Address - Country:US
Mailing Address - Phone:931-624-0293
Mailing Address - Fax:
Practice Address - Street 1:334 CAMDEN HLS W
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-8170
Practice Address - Country:US
Practice Address - Phone:931-624-0293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX705766163W00000X
TX1093283363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse