Healthcare Provider Details

I. General information

NPI: 1144701574
Provider Name (Legal Business Name): ERIKA ELAINE OSTERBROCK CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 E GALBRAITH RD STE 206
CINCINNATI OH
45236-6706
US

IV. Provider business mailing address

4700 E GALBRAITH RD STE 202
CINCINNATI OH
45236-2754
US

V. Phone/Fax

Practice location:
  • Phone: 513-686-4800
  • Fax:
Mailing address:
  • Phone: 513-891-5532
  • Fax: 513-924-8369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN.382871
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.024178
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: