Individual
TIFFANY OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
27O FARMINGTON AVENUE, # 309, FARMINGTON, CT 06032
(860) 677-5570
Mailing address
127 WESTBOURNE PKWY, HARTFORD, CT 06112-1735
(860) 713-3637
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
8263
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8263
CT
Other
Enumeration date
06/25/2019
Last updated
07/27/2024
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