Provider Demographics
NPI:1588469399
Name:OSTERMAN, AMY MARIE (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:OSTERMAN
Suffix:
Gender:
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 HAMMOCKS AVE
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-4201
Mailing Address - Country:US
Mailing Address - Phone:586-524-1347
Mailing Address - Fax:
Practice Address - Street 1:1440 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-6249
Practice Address - Country:US
Practice Address - Phone:727-275-9120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035960363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily