Provider Demographics
NPI:1902844970
Name:OSTERLOH, CATHERINE L (NNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:OSTERLOH
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 N TOWN CENTER DR
Mailing Address - Street 2:SUITE 10
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0514
Mailing Address - Country:US
Mailing Address - Phone:702-733-0981
Mailing Address - Fax:702-733-9751
Practice Address - Street 1:653 N TOWN CENTER DR
Practice Address - Street 2:SUITE 10
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0514
Practice Address - Country:US
Practice Address - Phone:702-733-0981
Practice Address - Fax:702-733-9751
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN041494-AP01192363LN0000X
NVAPN001382363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1993255Medicaid
LAQ39469Medicare UPIN
LA1993255Medicaid