Individual
ADAM ROBERT OSTERHAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
967 BELLEFONTAINE AVE, LIMA, OH 45804
(419) 996-5895
(419) 996-5896
Mailing address
967 BELLEFONTAINE AVE, LIMA, OH 45804-2888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRNCNP021865
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.021865
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
06/13/2018
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