MEDICARE: NATALIE JO OSIECKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	OS023912	PA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1073140810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE JO OSIECKI

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26506-1200
Country	:	US
Telephone Number	:	304-293-1224
Fax Number	:	304-293-3744

Provider Business Practice Location Address
First Line	:	1200 BROOKS LN STE 130
Second Line	:
City	:	JEFFERSON HILLS
State	:	PA
Zip	:	15025-3749
Country	:	US
Telephone Number	:	412-460-8111
Fax Number	:	412-460-8112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	09/04/2024

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Directions to “ NATALIE JO OSIECKI ” Practice Location

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