MEDICARE: DANIELLE OSBORN APN-C

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	26NJ01328300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26NJ01328300	OTHER	NJ	LICENSE

General Provider Information

NPI Number	:	1891427910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE OSBORN APN-C

Provider Business Mailing Address
First Line	:	222 NEW RD STE 201
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1281
Country	:	US
Telephone Number	:	609-788-8953
Fax Number	:	609-904-6929

Provider Business Practice Location Address
First Line	:	890 W BAY AVE
Second Line	:
City	:	BARNEGAT
State	:	NJ
Zip	:	08005-2150
Country	:	US
Telephone Number	:	609-788-8953
Fax Number	:	609-488-1516

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

Provider Enumeration Date	:	06/28/2022
Last Update Date	:	03/06/2026

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