NPI 1336440015 AMIE JO OTTO PMHNP-BC ALBERT LEA MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Amie Jo Otto - NPI: 1336440015

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: AMIE JO OTTO
NPI Number: 1336440015
Entity Type Code: Individual (1)
Gender: F
Credentials: PMHNP-BC
License Number: R 192080-4
Business Practice Address: 404 W Fountain St
Albert Lea, MN - 560072437
Business Phone Number: 5073732384
Business Fax Number:
Mailing Address: 404 W Fountain St,
ALBERT LEA
State: MN
Postal Code: 560072437
Phone Number: 5073732384
Fax Number:
NPI Enumeration Date: 11/11/2010
NPI Last Update Date: 06/13/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LP0808X
License Number: R 192080-4
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Psych/Mental Health
Taxonomy Definition:


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