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NPI Code Detail

MEDICARE: KASANDRA OSTRANDER NP

MEDICARE:   KASANDRA  OSTRANDER  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner10846157-4405UT
2208000000XPediatrics Physician10846157-4405UT

General Provider Information

NPI Number : 1295626414
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASANDRA OSTRANDER NP
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3124 W LEMAY AVE
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84119-2708
Country : US
Telephone Number : 801-809-4267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2025
Last Update Date : 05/07/2026

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Directions to “ KASANDRA OSTRANDER NP” Practice Location

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