Provider Demographics
NPI:1730050444
Name:OSBORNE, ARIEL TANAE (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:TANAE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5472 VERBENA LIME LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-7776
Mailing Address - Country:US
Mailing Address - Phone:909-997-8073
Mailing Address - Fax:
Practice Address - Street 1:5472 VERBENA LIME LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122-7776
Practice Address - Country:US
Practice Address - Phone:909-997-8073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV842207363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty