MEDICARE: TATIANA OSBORNE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95434594	CA

General Provider Information

NPI Number	:	1164384954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA OSBORNE

Provider Business Mailing Address
First Line	:	3547 ROCK BUTTE PL
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92570-5508
Country	:	US
Telephone Number	:	951-446-6079
Fax Number	:

Provider Business Practice Location Address
First Line	:	3547 ROCK BUTTE PL
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92570-5508
Country	:	US
Telephone Number	:	951-446-6079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ TATIANA OSBORNE ” Practice Location

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