| Doctor Name: | PHYLLIS CATHERINE NYOTTA |
| NPI Number: | 1174890735 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R168764 |
| Business Practice Address: | 705 Digital Dr Linthicum, MD - 210902267 |
| Business Phone Number: | 4106363060 |
| Business Fax Number: | |
| Mailing Address: | 705 Digital Dr, LINTHICUM |
| State: | MD |
| Postal Code: | 210902267 |
| Phone Number: | 4103633060 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | R168764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |