Individual
MS. PEGGY A OTTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
IDEAL OPTION, 47 VIRGINIA AVENUE, CUMBERLAND, MD 21502
(301) 268-5903
(509) 491-3031
Mailing address
47 VIRGINIA AVE, CUMBERLAND, MD 21502-3964
(301) 268-5903
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R149658
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028465300
—
MD
Enumeration date
12/11/2007
Last updated
01/15/2020
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