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Individual
ROBERT OTTO
Active
Individual
ROBERT OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015025674
MO
363LF0000X
Family Nurse Practitioner
5376922052
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019047655
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5376922052
KS
Other
Enumeration date
08/18/2015
Last updated
08/03/2023
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