Individual
MRS. SARAH GRACE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
540 OFFICENTER PL, SUITE 240, GAHANNA, OH 43230-5317
(614) 293-1707
(614) 293-1716
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA09003NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002360
—
OH
Enumeration date
09/27/2006
Last updated
01/30/2012
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