=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679495790
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRIANNA ROCHELLE OSTERSON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2301 HUDSON RD
-----------------------------------------------------
City | CEDAR FALLS
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50614-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-370-5558
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2127 110TH ST
-----------------------------------------------------
City | PATON
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50217-8052
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-370-5558
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------