Crista Osterhage, AGACNP
Individual provider Active NPI Nurse Practitioner · Bellbrook, OH
NPI 1679359012 · NPPES record last updated Sep 1, 2023
Key facts
- NPI
- 1679359012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0034804 (OH)
- Practice address
- 3951 W Franklin St Ste 1
Bellbrook, OH 45305-1834 - Phone
- (937) 818-1094
- NPI assigned
- Sep 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0034804 | OH | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 0034804 | OH | Yes |
Addresses
Primary practice location
3951 W Franklin St Ste 1
Bellbrook, OH 45305-1834
Mailing address
3951 W Franklin St Ste 1
Bellbrook, OH 45305-1834
Phone (937) 818-1094
Other providers in Bellbrook, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.