Provider Demographics
NPI:1245113984
Name:OSBORN, ANGE I
Entity type:Individual
Prefix:
First Name:ANGE
Middle Name:
Last Name:OSBORN
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 11TH ST APT 104
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-6802
Mailing Address - Country:US
Mailing Address - Phone:319-721-4111
Mailing Address - Fax:
Practice Address - Street 1:1141 11TH ST APT 104
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-6802
Practice Address - Country:US
Practice Address - Phone:319-721-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health