Individual
HEATHER OTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
9100 PARK ST, LENEXA, KS 66215-3353
(877) 279-5960
(855) 916-1997
Mailing address
9100 PARK ST, LENEXA, KS 66215-3353
(877) 279-5960
(855) 916-1997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77480
KS
Other
Enumeration date
12/19/2016
Last updated
06/18/2025
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