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Individual

CARRIE MARIE OTTOSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6055 CUBA VALLEY RD, WAUNAKEE, WI 53597-9603
(608) 850-5770
Mailing address
6055 CUBA VALLEY RD, WAUNAKEE, WI 53597-9603
(608) 850-5770

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
WI
163WH0200X
Home Health Registered Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38268300
WI
Enumeration date
04/08/2008
Last updated
04/08/2008
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