Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP60525658 | WA |
N | 363L00000X | Nurse Practitioner | ARNP2791032 | FL |
NPI | 1003004573 |
---|---|
Provider Name | Mrs. Joanne Lynn Osetsky |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Seattle, WA 98122-5788 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 07/07/2015 |