| Ostrowski Pediatric Care Pnp Pllc | |
|
8990 Lorraine Rd Gulfport MS 39503-4176 | |
| (228) 331-3310 | |
| (228) 284-1608 |
| Full Name | Ostrowski Pediatric Care Pnp Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8990 Lorraine Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Angela Kay Ostrowski (OWNER) |
| Authorized Official Contact | 2283313310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ostrowski Pediatric Care Pnp Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 | Ostrowski Pediatric Care Pnp Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (228) 331-3310 |
| NPI Number | 1316683584 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Medicare PECOS PAC ID | 9638557887 |
|---|---|
| Medicare Enrollment ID | O20220601000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316683584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Angela Kay Ostrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841932548 PECOS PAC ID: 1456739606 Enrollment ID: I20220601000501 |
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