Individual
BARBARA S OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
495 THOMAS JONES WAY, SUITE 210, EXTON, PA 19341-2553
(610) 560-8550
(610) 280-1569
Mailing address
495 THOMAS JONES WAY, SUITE 210, EXTON, PA 19341-2553
(610) 560-8550
(610) 280-1569
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP007907
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015467480001
—
PA
01
—
10154674801
AMERICHOICE
PA
01
—
1783498
BCBS
PA
01
—
30027682
KEYSTONE MERCY
PA
01
—
5939631
CIGNA
PA
Enumeration date
01/27/2006
Last updated
03/10/2009
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