Provider Demographics
NPI:1093758872
Name:OSTROSKI, CHRISTINE ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:OSTROSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43031 PARKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:BABCOCK RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:33982-5065
Mailing Address - Country:US
Mailing Address - Phone:706-338-3898
Mailing Address - Fax:
Practice Address - Street 1:43031 PARKSIDE CT
Practice Address - Street 2:
Practice Address - City:BABCOCK RANCH
Practice Address - State:FL
Practice Address - Zip Code:33982-5065
Practice Address - Country:US
Practice Address - Phone:706-338-3898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004789363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA004789OtherSTATE LICENCE NUMBER
GA1093758872OtherNPI
GA1093758872OtherNPI
97WCHSXMedicare PIN