Individual
STEPHANIE LYNN OTTAVIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
108 PATRIOT DR STE A, MIDDLETOWN, DE 19709-8803
(302) 354-5601
Mailing address
219 WILMORE DR, MIDDLETOWN, DE 19709-8360
(302) 354-5601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APP-000083964
DE
Other
Enumeration date
09/18/2024
Last updated
12/30/2024
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