Healthcare Provider Details

I. General information

NPI: 1952752339
Provider Name (Legal Business Name): BRITTANY MARIE OSBORN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 E DISCOVERY PKWY
BLOOMINGTON IN
47408-9059
US

IV. Provider business mailing address

3251 MOUND DR
TALLAHASSEE FL
32309-3636
US

V. Phone/Fax

Practice location:
  • Phone: 812-918-3400
  • Fax: 812-918-5829
Mailing address:
  • Phone: 912-318-7391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number71015779A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11003923
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number09000478C
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: