MEDICARE: MARINA NEALE OSBORN FNP

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	363LF0000X	Family Nurse Practitioner	25586	SC

General Provider Information

NPI Number	:	1538896964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINA NEALE OSBORN FNP

Provider Business Mailing Address
First Line	:	215 SOCIETY ST
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-5637
Country	:	US
Telephone Number	:	864-599-8243
Fax Number	:	864-661-9195

Provider Business Practice Location Address
First Line	:	215 SOCIETY ST
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-5637
Country	:	US
Telephone Number	:	864-559-8243
Fax Number	:	864-661-9195

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

Provider Enumeration Date	:	08/05/2022
Last Update Date	:	04/16/2026

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