NPI 1003515420

Michele a Otto, RN

Practitioner Registered Nurse Marion, IL

Practice location

Address: 2401 W Main St, Marion, IL 62959-1188
Phone: (618) 993-4168

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 041242849 (IL)

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Registry record

NPI: 1003515420
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2023
Record last updated: 24 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.