Individual
PROF. ANITA MARIE OTTOBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 FAIRFIELD DR, UPMC NORTHWEST, SENECA, PA 16346
(814) 676-7843
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN201522L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007376992
—
PA
Enumeration date
02/17/2006
Last updated
10/19/2020
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