MEDICARE: NANCY 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	171M00000X	Case Manager/Care Coordinator
2	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902152341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY OSBORNE

Provider Business Mailing Address
First Line	:	1655 PALM BEACH LAKES BLVD STE 300
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2203
Country	:	US
Telephone Number	:	561-612-6019
Fax Number	:	561-612-6097

Provider Business Practice Location Address
First Line	:	1655 PALM BEACH LAKES BLVD STE 300
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2203
Country	:	US
Telephone Number	:	561-612-6019
Fax Number	:	561-612-6097

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

Provider Enumeration Date	:	08/02/2012
Last Update Date	:	06/19/2019

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Directions to “ NANCY OSBORNE ” Practice Location

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