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NPI Code Detail

MEDICARE: MRS. RENITA OSBORN PMHNP

MEDICARE:  MRS. RENITA  OSBORN  PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.392894OH
2164W00000XLicensed Practical Nurse142972OH

General Provider Information

NPI Number : 1013298694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RENITA OSBORN PMHNP
Provider Business Mailing Address
First Line : 869 BEVERLY RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-2003
Country : US
Telephone Number : 216-965-3961
Fax Number :
Provider Business Practice Location Address
First Line : 869 BEVERLY RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-2003
Country : US
Telephone Number : 216-965-3961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2011
Last Update Date : 05/03/2025

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Directions to “ MRS. RENITA OSBORN PMHNP” Practice Location

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