Doctor Name: | MR. DAWN ARLEEN OTT |
NPI Number: | 1336368117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R078890 |
Business Practice Address: | 1103 26th St Fort George G Meade, MD - 207551251 |
Business Phone Number: | 4106742355 |
Business Fax Number: | |
Mailing Address: | 1385 Trysty Friend Pl, SEVERN |
State: | MD |
Postal Code: | 211441822 |
Phone Number: | 4105516347 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | R078890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |