Provider Demographics
NPI:1588060313
Name:OSTROWSKY, TARA B (ARNP-C)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:B
Last Name:OSTROWSKY
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:MS
Other - First Name:TARA
Other - Middle Name:E
Other - Last Name:BILSLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP-C
Mailing Address - Street 1:116 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3305
Mailing Address - Country:US
Mailing Address - Phone:727-895-5210
Mailing Address - Fax:727-821-4297
Practice Address - Street 1:116 1ST ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3305
Practice Address - Country:US
Practice Address - Phone:727-895-5210
Practice Address - Fax:727-821-4297
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9316767363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014104300Medicaid
FLIA977ZMedicare PIN