Healthcare Provider Details

I. General information

NPI: 1588682348
Provider Name (Legal Business Name): BARBARA OSTIGUY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 03/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5407 SKY LANE DR
DURHAM NC
27704-3953
US

IV. Provider business mailing address

882 N PINEY GROVE RD
MANSON NC
27553-9414
US

V. Phone/Fax

Practice location:
  • Phone: 919-682-0323
  • Fax:
Mailing address:
  • Phone: 413-348-5988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number132253
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5005180
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: