Healthcare Provider Details

I. General information

NPI: 1518862747
Provider Name (Legal Business Name): SUSAN MARIE OSLADIL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 S MAIN ST
OTTAWA KS
66067-3537
US

IV. Provider business mailing address

947 S MAIN ST
OTTAWA KS
66067-3315
US

V. Phone/Fax

Practice location:
  • Phone: 785-229-8283
  • Fax: 785-242-8420
Mailing address:
  • Phone: 785-229-8283
  • Fax: 785-242-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number97606
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: