Provider Demographics
NPI:1871727008
Name:OSOSKE, JULIE ANNE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANNE
Last Name:OSOSKE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 26170
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94126-6170
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:917-591-6490
Practice Address - Street 1:110 SUTTER ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4002
Practice Address - Country:US
Practice Address - Phone:415-291-0480
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA683032163W00000X
CA18298363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse