MEDICARE: LIBAN OSMAN NP MSN

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	363L00000X	Nurse Practitioner	AP9647	AZ
2	363LF0000X	Family Nurse Practitioner	AP9647	AZ

General Provider Information

NPI Number	:	1518403658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIBAN OSMAN NP MSN

Provider Business Mailing Address
First Line	:	PO BOX 9365
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-0139
Country	:	US
Telephone Number	:	480-687-7190
Fax Number	:

Provider Business Practice Location Address
First Line	:	3833 E THOMAS RD STE A2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-7523
Country	:	US
Telephone Number	:	602-671-7066
Fax Number	:	602-671-6908

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

Provider Enumeration Date	:	01/12/2017
Last Update Date	:	01/23/2026

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