Luke Otwell, CRNA
Nurse Anesthetist, Certified Registered in Hot Springs, AR. Individual provider (NPI-1).
NPI number1629481981
StatusActive
Last updated in NPPESJan 6, 2022
Details
- NPI
- 1629481981
- Entity type
- Individual (NPI-1)
- Name
- Luke Otwell
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2014
- Certification date
- Jan 6, 2022
- Last updated
- Jan 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C003026 | AR | Yes |
| 163W00000X | Registered Nurse | C003026 | AR | |
| 163W00000X | Registered Nurse | R085381 | AR |
Practice location
300 Werner StHot Springs, AR 71913-6406
Phone 501-664-4532 · Fax 501-663-4335
Mailing address
500 S University Ave Ste 500Little Rock, AR 72205-5307
Phone 501-664-4532 · Fax 501-663-4335
Other practice locations
4301 W Markham St
Little Rock, AR 72205-7101
Little Rock, AR 72205-7101
Phone 501-686-8000
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