Provider Demographics
NPI:1497793608
Name:OSIIER, CARRIE M (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:M
Last Name:OSIIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:M
Other - Last Name:WINTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3116 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MO
Mailing Address - Zip Code:64836-1211
Mailing Address - Country:US
Mailing Address - Phone:417-358-4811
Mailing Address - Fax:330-408-0009
Practice Address - Street 1:3071 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MO
Practice Address - Zip Code:64836-7851
Practice Address - Country:US
Practice Address - Phone:417-358-4811
Practice Address - Fax:330-408-0009
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002018693363LF0000X
KS46165363LF0000X
KS53-46165-091363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200547020AMedicaid
MOPENDINGMedicaid
MOPENDINGMedicare UPIN
MOPENDINGMedicaid
KS102844001Medicare UPIN