Provider Demographics
NPI:1285288233
Name:OESTREICHER, NANCY (MS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:OESTREICHER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 CALLE TRANQUILO NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87104-3123
Mailing Address - Country:US
Mailing Address - Phone:505-400-5970
Mailing Address - Fax:
Practice Address - Street 1:9521 SAN MATEO BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2237
Practice Address - Country:US
Practice Address - Phone:505-400-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator