Provider Demographics
NPI:1710119615
Name:OSTERMAIR, ALISHA (APRN)
Entity Type:Individual
Prefix:MS
First Name:ALISHA
Middle Name:
Last Name:OSTERMAIR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N6366 LAMPHERE RD
Mailing Address - Street 2:
Mailing Address - City:ARKANSAW
Mailing Address - State:WI
Mailing Address - Zip Code:54721-9412
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:N6366 LAMPHERE RD
Practice Address - Street 2:
Practice Address - City:ARKANSAW
Practice Address - State:WI
Practice Address - Zip Code:54721-9412
Practice Address - Country:US
Practice Address - Phone:715-495-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20028363LF0000X
COC-APN.0002971-C-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily