# NATHANIEL OTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053944108
- **Gender:** Man
- **Credential:** DNP, ARNP, AGACNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | RN60791598 | WA | — |
| 363LA2100X | Acute Care Nurse Practitioner | AP61288343 | WA | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | AP61288343 | WA | — |
| 363LG0600X | Gerontology Nurse Practitioner | AP61288343 | WA | Yes |

## Other

- **Enumeration date:** 02/18/2020
- **Last updated:** 02/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2217876 | — | WA |