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Individual
STEPHANIE OTTIMO
Active
Individual
STEPHANIE OTTIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN235965
GA
363LP2300X
Primary Care Nurse Practitioner
RN235965
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN235965
RN LICENSE
GA
Enumeration date
08/22/2017
Last updated
01/06/2022
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