Provider Demographics
NPI:1295504876
Name:OSTBY, KRISTINA M (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:M
Last Name:OSTBY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10831 BEECH VALLEY CT APT 106
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8296
Mailing Address - Country:US
Mailing Address - Phone:508-380-3838
Mailing Address - Fax:
Practice Address - Street 1:2850 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3869
Practice Address - Country:US
Practice Address - Phone:910-483-1793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-25
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019318363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1386036473OtherPRUITTHEALTH HOSPICE, INC.