Healthcare Provider Details

I. General information

NPI: 1275345449
Provider Name (Legal Business Name): HALLE M OSTMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11150 CA-1
POINT REYES STATION CA
94956
US

IV. Provider business mailing address

11150 CA-1
POINT REYES STATION CA
94956
US

V. Phone/Fax

Practice location:
  • Phone: 415-663-1082
  • Fax:
Mailing address:
  • Phone: 415-663-1082
  • Fax: 415-663-9474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95038392
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95356160
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: