person
Walter Raul Osorio
Acute Care Nurse Practitioner in South Bend, Indiana
NPI 1811608334

Walter Raul Osorio is an Acute Care Nurse Practitioner based in Granger, IN and is specialized in Acute Care. Walter Raul Osorio practices in South Bend, IN. The NPI Number for Walter Raul Osorio is 1811608334 and holds a License No. 71013751A (Indiana).

The current practice location address for Walter Raul Osorio is 621 Memorial Dr Ste 502, South Bend, IN and can be reached out via phone at 574-647-5875 and via fax at 574-647-5878. You can also correspond with Walter Raul Osorio through the mailing address at 3245 HEALTH DR STE 100, GRANGER, IN - 46530-1380 (mailing address contact number: 574-647-2129).

Location: 621 Memorial Dr Ste 502, South Bend, IN, 46530-1380
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Provider Profile Details
NPI Number
1811608334
Provider Name
Walter Raul Osorio
Credential
Provider Entity Type
Individual
Gender
Male
Address
621 Memorial Dr Ste 502, South Bend, IN, 46530-1380
Phone Number
574-647-5875
Fax Number
574-647-5878
Provider Enumeration Date
12/06/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300075201 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 502
City
State
Zip
46601-1075
Phone Number
574-647-5875
Fax Number
574-647-5878
person
Provider Business Mailing Address Details
Address
3245 Health Dr Ste 100
City
State
Zip
46530-1380
Phone Number
574-647-2129
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
71013751A (Indiana)
Definition
Definition to come...
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