Provider Demographics
NPI:1912012899
Name:OST, GAY ANN (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:GAY
Middle Name:ANN
Last Name:OST
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 S CLINTON ST APT 14B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1580
Mailing Address - Country:US
Mailing Address - Phone:303-908-7421
Mailing Address - Fax:720-824-1750
Practice Address - Street 1:625 S CLINTON ST APT 14B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1580
Practice Address - Country:US
Practice Address - Phone:303-908-7421
Practice Address - Fax:720-824-1750
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO167584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05520533Medicaid
S93965Medicare UPIN
CO05520533Medicaid