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NPI Code Detail

MEDICARE: PEGGY JO OSTRANDER FNP

MEDICARE: PEGGY JO OSTRANDER FNP
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
1363LF0000XFamily Nurse Practitioner539482TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972568665
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY JO OSTRANDER FNP
Provider Business Mailing Address
First Line : 617 E 16TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-5726
Country : US
Telephone Number : 972-423-8110
Fax Number : 972-423-1699
Provider Business Practice Location Address
First Line : 617 E 16TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-5726
Country : US
Telephone Number : 972-423-8110
Fax Number : 972-423-1699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 07/08/2007

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