MEDICARE: DR. MARYANN KATHARYN OSUCHOWSKI PHD, FNP-BC

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	363LF0000X	Family Nurse Practitioner	CNP00739	NM
2	363LF0000X	Family Nurse Practitioner	R35143	NM

General Provider Information

NPI Number	:	1841327772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARYANN KATHARYN OSUCHOWSKI PHD, FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 832
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-0832
Country	:	US
Telephone Number	:	505-398-1160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 8TH ST
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4221
Country	:	US
Telephone Number	:	505-398-1160
Fax Number	:

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/02/2024

Similar Medicare Providers

1245429216 — LIFESTYLE MEDICINE LLC
Practice Location Address:

1301 8TH ST
LAS VEGAS, NM
87701-4221

Practice Phone: 505-425-2850
Practice Fax: 505-425-2847

1881071462 — YOUR HEALTH FIRST MEDICAL CLINIC, LLC
Practice Location Address:

1301 8TH ST
LAS VEGAS, NM
87701-4221

Practice Phone: 505-398-1160
Practice Fax: 949-437-3906

1780534784 — AILE RUBY FLORES
Practice Location Address:

4221 MCLEOD DR
LAS VEGAS, NV
89121-5215

Practice Phone: 702-474-6450
Practice Fax: 702-474-6463

1225721624 — MARY CARTER CPC, CADC-I
Practice Location Address:

4221 MCLEOD DR
LAS VEGAS, NV
89121-5215

Practice Phone: 702-474-6450
Practice Fax:

1700071289 — DEBORAH KREUN
Practice Location Address:

4221 VAL DECHIANA AVE
LAS VEGAS, NV
89141-4257

Practice Phone: 702-596-8660
Practice Fax:

1063719813 — MR. DANIEL PAUL FICALORA MA
Practice Location Address:

4221 MCLEOD DR
LAS VEGAS, NV
89121-5215

Practice Phone: 702-474-6450
Practice Fax: 702-474-6450

Directions to “ DR. MARYANN KATHARYN OSUCHOWSKI PHD, FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.