Doctor Name: | CHRISTINE ELIZABETH OSTENDORF |
NPI Number: | 1023492022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP |
License Number: | CNP 3998 |
Business Practice Address: | 628 Galahad Rd N Hudson, WI - 540161040 |
Business Phone Number: | 6512359723 |
Business Fax Number: | |
Mailing Address: | 270 Main St N, Ste 300 STILLWATER |
State: | MN |
Postal Code: | 550826788 |
Phone Number: | 6513421039 |
Fax Number: | 6513421428 |
NPI Enumeration Date: | 07/20/2015 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP 3998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |