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Individual

LISA OSTENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
4130 PIONEER WOODS DR STE 4, LINCOLN, NE 68506-7552
(402) 858-0117
(402) 477-9295
Mailing address
4130 PIONEER WOODS DR STE 4, LINCOLN, NE 68506-7552
(402) 858-0117
(402) 477-9295

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
75546
NE
363L00000X
Nurse Practitioner
Primary
113507
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
113507
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026672702
NE
Enumeration date
05/02/2014
Last updated
09/05/2025
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