Individual
PRISCILLA MARIE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1102 7TH AVE E, WILLISTON, ND 58801-4450
(701) 572-7262
Mailing address
1102 7TH AVE E, WILLISTON, ND 58801-4450
(701) 572-7262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R40654
ND
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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