MEDICARE: SOFIA OSORIO PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5023447	NC

General Provider Information

NPI Number	:	1811866981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFIA OSORIO PMHNP

Provider Business Mailing Address
First Line	:	PO BOX 187
Second Line	:
City	:	FAISON
State	:	NC
Zip	:	28341-0187
Country	:	US
Telephone Number	:	910-267-0421
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 ADAIR DR # A
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27530-4516
Country	:	US
Telephone Number	:	919-648-4435
Fax Number	:

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

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	01/15/2026

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