Ottem, Regina M

Ottem, Regina M is an sole proprietor health care provider with primary practice located at 4311 3Rd Ave , San Diego CA 92103-1407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ottem, Regina M can be contacted via phone (619) 688-1600.

Contact Information

Primary practice address
4311 3Rd Ave San Diego CA 92103-1407
Phone: (619) 688-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 12322 California

Profile Details

NPI number 1386794469
LBN Legal business name Ottem, Regina M
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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