Provider Demographics
NPI:1336682509
Name:OSTROWSKI, KELLY ANN (CNM)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2400
Mailing Address - Country:US
Mailing Address - Phone:413-727-3548
Mailing Address - Fax:413-707-1221
Practice Address - Street 1:74 MAPLE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-2400
Practice Address - Country:US
Practice Address - Phone:413-727-3548
Practice Address - Fax:413-707-1221
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2331866367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife