Otto, Jennifer H

Otto, Jennifer H is an individual health care provider with primary practice located at 1521 E Tangerine Rd Ste 157, Oro Valley AZ 85755-6216. 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. Otto, Jennifer H can be contacted via phone (520) 229-2095.

Contact Information

Primary practice address
1521 E Tangerine Rd Ste 157 Oro Valley AZ 85755-6216
Phone: (520) 229-2095
Fax: (520) 229-8501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 582818 Arizona

Profile Details

NPI number 1043259617
LBN Legal business name Otto, Jennifer H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 2nd, 2012 - about 12 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 1043259617 NPPES
Arizona MEDICAID 417635

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