MEDICARE: ARIEL TANAE OSBORNE APRN, PMHNP

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	842207	NV

General Provider Information

NPI Number	:	1730050444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL TANAE OSBORNE APRN, PMHNP

Provider Business Mailing Address
First Line	:	5472 VERBENA LIME LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7776
Country	:	US
Telephone Number	:	909-997-8073
Fax Number	:

Provider Business Practice Location Address
First Line	:	5472 VERBENA LIME LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7776
Country	:	US
Telephone Number	:	909-997-8073
Fax Number	:

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

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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