Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 95017050 | CA |
NPI | 1033797071 |
---|---|
Provider Name | Nami Osterwald |
First Address | Fullerton, CA 92835-1614 |
Second Address | Los Angeles, CA 90048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2021 |
Last Update Date | 31/03/2021 |