Individual
CAROL OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
125 S 9TH ST, PHILADELPHIA, PA 19107-5125
(215) 592-4500
Mailing address
260 S BROAD ST, 18TH FLOOR, PHILADELPHIA, PA 19102-5021
(215) 985-2500
(215) 731-2049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
TP000590A
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
TP000590A
PA
Other
Enumeration date
10/13/2005
Last updated
01/27/2009
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