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Individual

BRIANA OTWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8770 OHIO RIVER RD, WHEELERSBURG, OH 45694
(740) 574-9090
(740) 574-9999
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8034
(740) 353-7900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022877
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0292112
OH
Enumeration date
02/19/2018
Last updated
12/17/2020
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