# AMANDA OTTO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821794934
- **Gender:** F
- **Credential:** MSN, APRN, FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 71013680A | IN | Yes |

## Other

- **Enumeration date:** 02/01/2023
- **Last updated:** 01/06/2026
