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NPI Code Detail

MEDICARE: COURTNEY OSBORNE HM

MEDICARE:   COURTNEY  OSBORNE  HM
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
11710I1002XIndependent Duty Corpsman

General Provider Information

NPI Number : 1033645403
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY OSBORNE HM
Provider Business Mailing Address
First Line : USS ABRAHAM LINCOLN CVN 72
Second Line : MEDICAL DEPARTMENT
City : FPO
State : AE
Zip : 09520
Country : US
Telephone Number : 757-534-0097
Fax Number :
Provider Business Practice Location Address
First Line : USS ABRAHAM LINCOLN CVN 72
Second Line : MEDICAL DEPARTMENT
City : NORFOLK
State : VA
Zip : 09520
Country : US
Telephone Number : 757-534-0097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2017
Last Update Date : 05/04/2017

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Directions to “ COURTNEY OSBORNE HM” Practice Location

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