Healthcare Provider Details

I. General information

NPI: 1811568751
Provider Name (Legal Business Name): EMILY MARIE OSBORNE DNP, ARNP, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 12/03/2024
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 140TH AVE. NE BUILDING C
BELLEVUE WA
98005
US

IV. Provider business mailing address

2475 140TH AVE. NE BUILDING C
BELLEVUE WA
98005
US

V. Phone/Fax

Practice location:
  • Phone: 425-828-2257
  • Fax: 425-636-8139
Mailing address:
  • Phone: 513-348-6315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP61175906
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: