Individual provider · Type 1 NPI

Lisa Ann Ostrander, AGNP-C

Gerontology Nurse Practitioner · Taylorsville, UT

NPI number 1104398361 Active

Practice location

1385 W 2200 S
Taylorsville, UT 84119-7205

Call (801) 944-0095 Map

Other practice locations

1208 E 3300 S, Slc, UT 84106-2522 · (801) 483-1600

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	7010732-3102 (UT)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1104398361

Lisa Ann Ostrander, AGNP-C's National Provider Identifier is 1104398361, issued on Dec 27, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Taylorsville, UT. The record was last updated on Nov 12, 2019.