Provider Demographics
NPI:1467440859
Name:OSWALD, PATRICIA KAY (CRNP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:KAY
Last Name:OSWALD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BASSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5869
Mailing Address - Country:US
Mailing Address - Phone:410-719-0352
Mailing Address - Fax:
Practice Address - Street 1:10710 CHARTER DR STE G030
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3261
Practice Address - Country:US
Practice Address - Phone:443-546-1300
Practice Address - Fax:443-546-1301
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR066624363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health