Individual
ASHLEY K OTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1136 WESTOWNE DR, NEENAH, WI 54956-2175
(920) 720-8200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 720-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
247036-030
WI
363L00000X
Nurse Practitioner
Primary
14158-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247174
—
WI
Enumeration date
06/27/2023
Last updated
10/26/2023
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