Individual
CAITLIN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1222 10TH AVE, PORT HURON, MI 48060-3406
(810) 985-9681
Mailing address
1222 10TH AVE, PORT HURON, MI 48060-3406
(810) 985-9681
(810) 985-5310
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704286929
MI
363LG0600X
Gerontology Nurse Practitioner
4704286929
MI
Other
Enumeration date
03/09/2018
Last updated
04/13/2023
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