Individual
MRS. MARY AGNES OSTICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 LANCASTER AVE, VILLAVNOA UNIVERSITY, VILLANOVA, PA 19085-1603
(610) 519-4070
(610) 519-4047
Mailing address
412 CHERRY LN, HAVERTOWN, PA 19083-1619
(610) 446-4736
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
363LF0000X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36
NURSE PRACTITIONER
PA
Enumeration date
06/13/2006
Last updated
07/08/2007
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