Healthcare Provider Details

I. General information

NPI: 1609448315
Provider Name (Legal Business Name): BRITTNEY OSTRANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 S KANNER HWY
STUART FL
34994-4801
US

IV. Provider business mailing address

107 OCEANSIDE ST
ISLIP TERRACE NY
11752-1303
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-4999
  • Fax:
Mailing address:
  • Phone: 631-669-7012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11015491
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: