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Individual
REGINA OTTAN
Active
Individual
REGINA OTTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
AP134113
TX
363L00000X
Nurse Practitioner
Primary
F05170039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164950283
NPI
TX
01
—
F05170039
FAMILY NURSE PRACTITIONER
TX
Enumeration date
06/02/2017
Last updated
04/07/2025
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