Provider Demographics
NPI:1306184783
Name:OESTREICH, JEANNE SANDY (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:SANDY
Last Name:OESTREICH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 173RD AVE E
Mailing Address - Street 2:
Mailing Address - City:NORTH REDINGTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33708-1332
Mailing Address - Country:US
Mailing Address - Phone:727-393-9932
Mailing Address - Fax:727-393-0932
Practice Address - Street 1:305 173RD AVE E
Practice Address - Street 2:
Practice Address - City:NORTH REDINGTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33708-1332
Practice Address - Country:US
Practice Address - Phone:727-393-9932
Practice Address - Fax:727-393-0932
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-20
Last Update Date:2013-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1169112163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse