Individual
ANNETTE BENNETT-OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 N GRANDVIEW BLVD, WAUKESHA, WI 53188-1672
(262) 513-0700
(262) 513-0707
Mailing address
W532 ROME OAK HILL RD, PALMYRA, WI 53156-9729
(815) 342-1364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8381-33
WI
Other
Enumeration date
08/12/2016
Last updated
01/19/2022
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