Individual
MS. OLIVIA D. OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, CRNP
Contact information
Practice address
904 CAMPBELL STREET, SUITE 203, WILLIAMSPORT, PA 17701
(570) 327-9900
(570) 327-9400
Mailing address
904 CAMPBELL STREET, SUITE 203, WILLIAMSPORT, PA 17701
(570) 327-9900
(570) 327-9400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
VP002098G
PA
367A00000X
Advanced Practice Midwife
Primary
MW008498L
PA
Other
Enumeration date
04/11/2006
Last updated
09/03/2010
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