Provider Demographics
NPI:1871829044
Name:OSBORNE, APRIL M (FNP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:M
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:M
Other - Last Name:MULLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:26108 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7502
Mailing Address - Country:US
Mailing Address - Phone:276-477-4600
Mailing Address - Fax:423-328-0163
Practice Address - Street 1:26108 LEE HWY
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7502
Practice Address - Country:US
Practice Address - Phone:276-477-4600
Practice Address - Fax:423-491-8109
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14525363L00000X
VA0024168540363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1871829044Medicaid
TN1517659Medicaid
TN1517659Medicaid
VAC09112Medicare PIN
VA1871829044Medicaid