Individual
CINDY L OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1848672
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
9878
MN
363LA2200X
Adult Health Nurse Practitioner
R53317
ND
Other
Enumeration date
11/28/2022
Last updated
04/22/2024
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