Provider Demographics
NPI:1427726983
Name:OSTEEN, ANGELA D (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:D
Last Name:OSTEEN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 HARVEY OSTEEN RD
Mailing Address - Street 2:
Mailing Address - City:ZIRCONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28790-5704
Mailing Address - Country:US
Mailing Address - Phone:828-513-1160
Mailing Address - Fax:
Practice Address - Street 1:114 JOEL WRIGHT DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5760
Practice Address - Country:US
Practice Address - Phone:828-513-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC161314163WW0000X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WW0000XNursing Service ProvidersRegistered NurseWound Care