Ottley, Verla R.

Ottley, Verla R. is an individual health care provider with primary practice located at 1660 John Adams Pkwy , Idaho Falls ID 83401-4360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ottley, Verla R. can be contacted via phone (208) 523-8844.

Contact Information

Primary practice address
1660 John Adams Pkwy Idaho Falls ID 83401-4360
Phone: (208) 523-8844
Fax: (208) 529-8684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-253A Idaho

Profile Details

NPI number 1790849529
LBN Legal business name Ottley, Verla R.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1790849529 NPPES
Idaho Other 00001006616 BLUE SHIELD OF IDAHO
Idaho Other NPHK8 BLUE SHIELD OF IDAHO

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