Healthcare Provider Details

I. General information

NPI: 1457516791
Provider Name (Legal Business Name): NANCY KAY OESTMANN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 BURLAND DR
BAILEY CO
80421-1891
US

IV. Provider business mailing address

1043 BURLAND DRIVE
BAILEY CO
80421-1891
US

V. Phone/Fax

Practice location:
  • Phone: 303-921-4201
  • Fax:
Mailing address:
  • Phone: 303-921-4201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number186242
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: