Healthcare Provider Details

I. General information

NPI: 1871280685
Provider Name (Legal Business Name): SHARON P OSBORN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 W GARDNER AVE
SPOKANE WA
99201-2059
US

IV. Provider business mailing address

1426 S JEFFERSON ST
SPOKANE WA
99203-1046
US

V. Phone/Fax

Practice location:
  • Phone: 609-879-8009
  • Fax:
Mailing address:
  • Phone: 916-757-2312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN61312095
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: