Provider Demographics
NPI:1366882201
Name:OSBURN, MELINDA FRANCES (NP)
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:FRANCES
Last Name:OSBURN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MELINDA
Other - Middle Name:FRANCES
Other - Last Name:MAMEROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:696 JENTRY RD
Mailing Address - Street 2:
Mailing Address - City:INEZ
Mailing Address - State:TX
Mailing Address - Zip Code:77968-3342
Mailing Address - Country:US
Mailing Address - Phone:979-541-6457
Mailing Address - Fax:
Practice Address - Street 1:2700 CITIZENS PLZ
Practice Address - Street 2:SUITE 100
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5754
Practice Address - Country:US
Practice Address - Phone:361-579-1371
Practice Address - Fax:361-579-1373
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX716851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily