Michele A Otto, RN
Registered Nurse in Marion, IL. Individual provider (NPI-1).
NPI number1003515420
StatusActive
Last updated in NPPESFeb 24, 2023
Details
- NPI
- 1003515420
- Entity type
- Individual (NPI-1)
- Name
- Michele A Otto
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2023
- Certification date
- Feb 23, 2023
- Last updated
- Feb 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041242849 | IL | Yes |
Practice location
2401 W Main StMarion, IL 62959-1188
Phone 618-993-4168
Mailing address
2401 W Main StMarion, IL 62959-1188
Phone 618-993-4168
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