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Individual

SUSAN MARY OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 359-3030
(412) 359-3060
Mailing address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 359-3030
(412) 359-3060

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP007734
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP007734
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103188610
PA
Enumeration date
02/16/2007
Last updated
10/05/2020
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