Provider Demographics
NPI:1588300487
Name:OSTRANDER, LEEA
Entity type:Individual
Prefix:
First Name:LEEA
Middle Name:
Last Name:OSTRANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6226 WAPELLO JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IA
Mailing Address - Zip Code:52533-8500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6226 WAPELLO JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IA
Practice Address - Zip Code:52533-8500
Practice Address - Country:US
Practice Address - Phone:641-455-4061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility