Provider Demographics
NPI:1205229069
Name:OSTRY, CAREY LEE (CRNP)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:LEE
Last Name:OSTRY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CAREY
Other - Middle Name:LEE
Other - Last Name:HULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11350 MCCORMICK ROAD
Mailing Address - Street 2:EXECUTIVE PLAZA I, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:301-881-7246
Mailing Address - Fax:301-881-2449
Practice Address - Street 1:11921 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 505
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2737
Practice Address - Country:US
Practice Address - Phone:301-881-7246
Practice Address - Fax:301-881-2449
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR175550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily