Otter, Elizabeth Ann

Otter, Elizabeth Ann is an individual health care provider with primary practice located at 3290 N Wellness Dr Ste 240 , Holland MI 49424-7261. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Otter, Elizabeth Ann can be contacted via phone (616) 395-9379.

Contact Information

Primary practice address
3290 N Wellness Dr Ste 240 Holland MI 49424-7261
Phone: (616) 395-9379
Fax: (616) 820-1457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000001490 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004658 Michigan

Profile Details

NPI number 1639108293
LBN Legal business name Otter, Elizabeth Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 13th, 2023 - about last year

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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