MEDICARE: RICHARD OSBORN CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	2934	SC
2	367500000X	Certified Registered Nurse Anesthetist	2536	NC

General Provider Information

NPI Number	:	1053354241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD OSBORN CRNA

Provider Business Mailing Address
First Line	:	91 MOSS DR
Second Line	:
City	:	MILL SPRING
State	:	NC
Zip	:	28756-5618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 HOSPITAL DR
Second Line	:
City	:	COLUMBUS
State	:	NC
Zip	:	28722-6418
Country	:	US
Telephone Number	:	828-894-3311
Fax Number	:	803-283-6360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	11/14/2025

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