Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0027286 | OH |
NPI | 1043823164 |
---|---|
Provider Name | Mrs. Holly Carol Ostendorf |
First Address | Strongsville, OH 44136-3405 |
Second Address | Strongsville, OH 44136-3405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2020 |
Last Update Date | 28/08/2020 |