Provider Demographics
NPI:1265611537
Name:OSTER, GERTRUDE AREJA (APRN)
Entity type:Individual
Prefix:MRS
First Name:GERTRUDE
Middle Name:AREJA
Last Name:OSTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:TRUDY
Other - Middle Name:AREJA
Other - Last Name:OSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:3333 E CAMELBACK RD STE 180
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2396
Mailing Address - Country:US
Mailing Address - Phone:602-759-6883
Mailing Address - Fax:602-224-3358
Practice Address - Street 1:4511 N CAMPBELL AVE STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6424
Practice Address - Country:US
Practice Address - Phone:520-529-6500
Practice Address - Fax:520-209-7337
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2816363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP2816OtherSTATE LICENSE FNP
AZRN140274OtherSTATE LICENSE-RN