| Doctor Name: | MRS. HEIDI J. OTTO |
| NPI Number: | 1649471178 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, IBCLC, CNP |
| License Number: | R113572-5 |
| Business Practice Address: | 1900 Sunrise Dr Saint Peter, MN - 560825376 |
| Business Phone Number: | 5079348480 |
| Business Fax Number: | |
| Mailing Address: | 1900 Sunrise Dr, SAINT PETER |
| State: | MN |
| Postal Code: | 560825376 |
| Phone Number: | 5079348480 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | R113572-5 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |