Organization
BLUEBIRD MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OSTRANDER AGNP-C (OWNER)
(385) 445-5466
Entity
Organization
Contact information
Practice address
5510 S HUGOTON DR, TAYLORSVILLE, UT 84129-1422
(385) 445-5466
Mailing address
5510 S HUGOTON DR, TAYLORSVILLE, UT 84129-1422
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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