Individual
GRACE CATHERINE OSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
1730 E WOODLAWN RD, SUITE D, CHARLOTTE, NC 28209-2234
(704) 384-1550
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-1550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007056
NC
363LF0000X
Family Nurse Practitioner
5007056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013325158
—
NC
Enumeration date
07/31/2014
Last updated
11/27/2023
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