Provider Demographics
NPI:1184918971
Name:OSHRINE, KATHLEEN JOAN (CRNP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:JOAN
Last Name:OSHRINE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 5TH ST S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4804
Mailing Address - Country:US
Mailing Address - Phone:727-322-4839
Mailing Address - Fax:727-821-2461
Practice Address - Street 1:601 5TH ST S STE 711
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4804
Practice Address - Country:US
Practice Address - Phone:727-322-4839
Practice Address - Fax:727-821-2461
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA617342363LP0200X
FLARNP9381330363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics