Healthcare Provider Details

I. General information

NPI: 1952977936
Provider Name (Legal Business Name): TAMER OSMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7113 PROSPECT PL NE
ALBUQUERQUE NM
87110-4313
US

IV. Provider business mailing address

7113 PROSPECT PL NE
ALBUQUERQUE NM
87110-4313
US

V. Phone/Fax

Practice location:
  • Phone: 505-903-6309
  • Fax: 505-405-3184
Mailing address:
  • Phone: 505-903-6309
  • Fax: 505-405-3184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number87916
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: