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NPI Code Detail

MEDICARE: GABRIELE OSORIO FNP-C

MEDICARE: GABRIELE OSORIO FNP-C
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
1363LF0000XFamily Nurse PractitionerF02240338TN

General Provider Information

NPI Number : 1821811415
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELE OSORIO FNP-C
Provider Business Mailing Address
First Line : 9130 WHITE ASH DR
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-1734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9219 LEE HWY STE 103
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-4440
Country : US
Telephone Number : 423-531-3398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2024
Last Update Date : 11/04/2024

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Directions to “ GABRIELE OSORIO FNP-C” Practice Location

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