Provider Demographics
NPI:1609149855
Name:OSLER, KRISTEEN ELISE (LPN)
Entity Type:Individual
Prefix:
First Name:KRISTEEN
Middle Name:ELISE
Last Name:OSLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10070 APACHE DR
Mailing Address - Street 2:#304
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-9086
Mailing Address - Country:US
Mailing Address - Phone:440-623-4859
Mailing Address - Fax:
Practice Address - Street 1:10070 APACHE DR
Practice Address - Street 2:#304
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-9086
Practice Address - Country:US
Practice Address - Phone:440-623-4859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.146990-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse