Individual provider · Type 1 NPI

Mikayla Nicole Osorio, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1932855822 Active

Practice location

1412 Fairmount Ave
Philadelphia, PA 19130-2908

Call (215) 235-9600 Map

Mailing address

167 Osborn St
Philadelphia, PA 19128-3716

Other practice locations

  • 21 Susquehanna Valley Mall Dr Ste C, Selinsgrove, PA 17870-9148 · (570) 523-8700
  • 3 Hospital Dr Ste 312, Lewisburg, PA 17837-8909 · (570) 523-8700

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA063404 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1932855822

Mikayla Nicole Osorio, PA-C's National Provider Identifier is 1932855822, issued on Mar 1, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 5, 2026.