Healthcare Provider Details

I. General information

NPI: 1386470060
Provider Name (Legal Business Name): LEENA OSMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 6TH AVE STE 400
DES MOINES IA
50309-4108
US

IV. Provider business mailing address

317 6TH AVE STE 400
DES MOINES IA
50309-4108
US

V. Phone/Fax

Practice location:
  • Phone: 515-216-0962
  • Fax:
Mailing address:
  • Phone: 213-658-1702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95029135
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: