1164515656 NPI number — MS. JANET I OSTRANSKY RN CDE

Table of content: MS. JANET I OSTRANSKY RN CDE (NPI 1164515656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164515656 NPI number — MS. JANET I OSTRANSKY RN CDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OSTRANSKY
Provider First Name:
JANET
Provider Middle Name:
I
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN CDE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NELSON
Provider Other First Name:
JANET
Provider Other Middle Name:
I
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN CDE
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1164515656
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
450 EAST 23RD STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREMONT
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68025-2303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-727-3355
Provider Business Mailing Address Fax Number:
402-727-3433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 EAST 23RD STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68025-2303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-727-3355
Provider Business Practice Location Address Fax Number:
402-727-3433
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WD0400X , with the licence number:  21553 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 81009 . This is a "BLUE CROSS BLUE SHIELD NE" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




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