Individual
AMIE JO OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
103 E STATE ST, MASON CITY, IA 50401-3300
(641) 421-2089
Mailing address
103 E STATE ST, MASON CITY, IA 50401-3300
(641) 421-2089
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R 192080-4
MN
Other
Enumeration date
11/11/2010
Last updated
07/05/2023
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