Provider Demographics
NPI:1881314789
Name:OSTLER, JOANNA (RN)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:OSTLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:LAMBRECHTSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16157 S TRUSS DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-1868
Mailing Address - Country:US
Mailing Address - Phone:801-688-5519
Mailing Address - Fax:
Practice Address - Street 1:1305 N MARTIN AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0001
Practice Address - Country:US
Practice Address - Phone:520-626-6154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10870326-3102163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine