Provider Demographics
NPI:1447407622
Name:OSKAM, DORIS (RN)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:
Last Name:OSKAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 VAN DALE CT
Mailing Address - Street 2:
Mailing Address - City:WALDEN
Mailing Address - State:NY
Mailing Address - Zip Code:12586-2915
Mailing Address - Country:US
Mailing Address - Phone:845-778-4096
Mailing Address - Fax:
Practice Address - Street 1:23 VAN DALE CT
Practice Address - Street 2:
Practice Address - City:WALDEN
Practice Address - State:NY
Practice Address - Zip Code:12586-2915
Practice Address - Country:US
Practice Address - Phone:845-778-4096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY325631163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health