Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN.0995833-NP | CO |
N | 363LA2100X | Nurse Practitioner - Acute Care | AP126952 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | AP126952 | TX |
NPI | 1003213745 |
---|---|
Provider Name | Mrs. Anjanette Ostrom |
First Address | El Paso, TX 79902-3320 |
Second Address | Littleton, CO 80122-2602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2014 |
Last Update Date | 30/12/2020 |