MEDICARE: MS. ALISHA OSTERMAIR APRN

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
1	363LF0000X	Family Nurse Practitioner	20028	SC
2	363LF0000X	Family Nurse Practitioner	APN.0998452-NP	CO

General Provider Information

NPI Number	:	1710119615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALISHA OSTERMAIR APRN

Provider Business Mailing Address
First Line	:	312 W 2ND ST UNIT A2877
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-2412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14142 DENVER WEST PKWY STE 285
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3127
Country	:	US
Telephone Number	:	877-637-8387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2009
Last Update Date	:	06/10/2024

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