Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Ann Ostrander, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1104398361

Lisa Ann Ostrander, AGNP-C is a Nurse Practitioner in Taylorsville, Utah. Qualified in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Licensed in
UT
In the registry since
2018

Practice location Address checks out

1385 W 2200 S
Taylorsville, UT 84119-7205
Phone: (801) 944-0095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1208 E 3300 S, Slc, UT 84106-2522 — (801) 483-1600

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 7010732-3102 (UT)

Record details

NPI number1104398361
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedDecember 27, 2018
Last updated in NPPESNovember 12, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount