Doctor Name: | PAULA G OTT |
NPI Number: | 1962622563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, RCS |
License Number: | |
Business Practice Address: | 7387 County Rd W Greenleaf, WI - 541269483 |
Business Phone Number: | 9208642348 |
Business Fax Number: | 9208642348 |
Mailing Address: | 7387 County Rd W, GREENLEAF |
State: | WI |
Postal Code: | 541269483 |
Phone Number: | 9208642348 |
Fax Number: | 9208642348 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |