| Doctor Name: | MRS. ANJANETTE OSTROM |
| NPI Number: | 1003213745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGACNP-BC |
| License Number: | AP126952 |
| Business Practice Address: | 2001 N Oregon St El Paso, TX - 799023320 |
| Business Phone Number: | 9152355614 |
| Business Fax Number: | |
| Mailing Address: | 2001 N Oregon St, EL PASO |
| State: | TX |
| Postal Code: | 799023320 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/24/2014 |
| NPI Last Update Date: | 08/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | AP126952 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |