Individual
JULIE ANNE OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2132 S 42ND ST, OMAHA, NE 68105-2910
(402) 558-1858
(402) 558-8970
Mailing address
PO BOX 31009, OMAHA, NE 68131-0009
(402) 554-1210
(402) 553-7232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17264
NE
2084P0800X
Psychiatry Physician
26898
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059105
—
IA
Enumeration date
06/26/2006
Last updated
09/12/2011
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