Healthcare Provider Details

I. General information

NPI: 1982959680
Provider Name (Legal Business Name): MARY JEAN OSTROWSKI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 07/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE C
PITTSBURGH PA
15240
US

IV. Provider business mailing address

5501 ORCHARD HILL DR APT 424
GIBSONIA PA
15044-9247
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6000
  • Fax:
Mailing address:
  • Phone: 724-443-3285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN612145
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: