Individual
ALYSSA DANIELLE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4404
(502) 587-4156
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4004605
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078937
—
IN
05
—
7100907750
—
KY
Enumeration date
05/24/2023
Last updated
08/07/2023
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