Individual
SARAH OSDIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 189A, SAINT LOUIS, MO 63141-8232
(314) 251-6335
Mailing address
621 S NEW BALLAS RD, SUITE 189A, SAINT LOUIS, MO 63141-8232
(314) 251-6335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2009032406
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316274905
—
MO
01
—
P01168948
RAILROAD MEDICARE
MO
Enumeration date
11/03/2009
Last updated
05/05/2014
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