MEDICARE: MISS BERTHA LORENA OSORIO-CAMPBELL ARNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9298919	FL
2	363LF0000X	Family Nurse Practitioner	9298919	FL

General Provider Information

NPI Number	:	1558817684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS BERTHA LORENA OSORIO-CAMPBELL ARNP

Provider Business Mailing Address
First Line	:	2701 W OAKLAND PARK BLVD STE 101-12
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1388
Country	:	US
Telephone Number	:	954-802-9835
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 W OAKLAND PARK BLVD STE 101-12
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1388
Country	:	US
Telephone Number	:	954-802-9835
Fax Number	:	954-901-2834

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

Provider Enumeration Date	:	08/29/2016
Last Update Date	:	02/05/2026

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