Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | RN257518 | GA |
NPI | 1023654084 |
---|---|
Provider Name | Madeleine Oster |
First Address | Gainesville, GA 30501-7576 |
Second Address | Palo Alto, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2019 |
Last Update Date | 09/01/2020 |