| Osborne Mental Wellness | |
|
120 Ryan Dr Rising Sun MD 21911-1840 | |
| (610) 731-4307 | |
| Not Available |
| Full Name | Osborne Mental Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Ryan Dr, Rising Sun, Maryland |
| Authorized Official Name and Position | Karen Osborne (OWNER) |
| Authorized Official Contact | 6107314307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osborne Mental Wellness 215 Veterans Dr Nottingham PA 19362-9156 Ph: (610) 731-4307 | Osborne Mental Wellness 120 Ryan Dr Rising Sun MD 21911-1840 Ph: (610) 731-4307 |
| NPI Number | 1235890120 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/03/2022 |
| Medicare PECOS PAC ID | 4284027210 |
|---|---|
| Medicare Enrollment ID | O20220215000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235890120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karen Renee Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245759844 PECOS PAC ID: 0547524670 Enrollment ID: I20180426000045 |
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