Healthcare Provider Details

I. General information

NPI: 1861009797
Provider Name (Legal Business Name): NATALIYA BORSIOV OSORIO MSN, RN-BC, NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7117 BROCKTON AVE
RIVERSIDE CA
92506-2658
US

IV. Provider business mailing address

PO BOX 6874
FULLERTON CA
92834-6874
US

V. Phone/Fax

Practice location:
  • Phone: 951-782-3630
  • Fax: 951-784-3270
Mailing address:
  • Phone: 425-239-7812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95012657
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberNP95012657
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: