Provider Demographics
NPI:1063146702
Name:OSTRANDER, NATHAN WILLIAM
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:WILLIAM
Last Name:OSTRANDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:NATE
Other - Middle Name:WILLIAM
Other - Last Name:OSTRANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:246 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-5915
Mailing Address - Country:US
Mailing Address - Phone:571-510-2413
Mailing Address - Fax:
Practice Address - Street 1:246 MYRTLE ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-5915
Practice Address - Country:US
Practice Address - Phone:571-510-2413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool