Provider Demographics
NPI:1912278086
Name:OSBORNE, DELZIE (RN)
Entity Type:Individual
Prefix:MR
First Name:DELZIE
Middle Name:
Last Name:OSBORNE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5465 RUDDY CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7232
Mailing Address - Country:US
Mailing Address - Phone:513-541-0852
Mailing Address - Fax:
Practice Address - Street 1:5465 RUDDY CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7232
Practice Address - Country:US
Practice Address - Phone:513-541-0852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-22
Last Update Date:2012-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.184447163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse