Provider Demographics
NPI:1265268858
Name:OSTERMAN, HEIDI L (NBC-HWC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:L
Last Name:OSTERMAN
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 HILLSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13206-2954
Mailing Address - Country:US
Mailing Address - Phone:315-575-2930
Mailing Address - Fax:
Practice Address - Street 1:252 HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-2954
Practice Address - Country:US
Practice Address - Phone:315-575-2930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty