Healthcare Provider Details
I. General information
NPI: 1215299599
Provider Name (Legal Business Name): ELIZABETH REAGAN OSBORN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/12/2012
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 BROOKSEDGE BLVD
WESTERVILLE OH
43081-3394
US
IV. Provider business mailing address
700 BROOKSEDGE BLVD
WESTERVILLE OH
43081-3394
US
V. Phone/Fax
- Phone: 614-882-9338
- Fax: 614-882-3401
- Phone: 614-882-9338
- Fax: 614-882-3401
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: