Provider Demographics
NPI:1699167304
Name:OSBOURNE, DANITA T (ARNP)
Entity type:Individual
Prefix:
First Name:DANITA
Middle Name:T
Last Name:OSBOURNE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 W ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-7136
Mailing Address - Country:US
Mailing Address - Phone:813-754-3504
Mailing Address - Fax:813-752-6863
Practice Address - Street 1:507 W ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-7136
Practice Address - Country:US
Practice Address - Phone:813-754-3504
Practice Address - Fax:813-752-6863
Is Sole Proprietor?:No
Enumeration Date:2015-03-04
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9277693363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner