NPI 1003630302
Tonya M Otto, APRNCNP
Practice location
- Address
- 4110 51st Ave S, Fargo, ND 58104-7776
- Phone
- (701) 364-3100
- Mailing address
- 1702 University Dr S, Fargo, ND 58103-4940
Registered specialties
Family Nurse Practitioner
Primary
Registry record
- NPI
- 1003630302
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Nov 2024
- Record last updated
- 13 Nov 2024
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.