Individual
AMANDA OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PERSNICKETY PL, PLYMOUTH, WI 53073-3544
(920) 892-3774
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7151-33
WI
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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