Individual
CORY JOHN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
5533 MAHONING AVE FL 2, AUSTINTOWN, OH 44515-2366
(330) 480-3519
(330) 480-3525
Mailing address
5533 MAHONING AVE FL 2, AUSTINTOWN, OH 44515-2366
(330) 480-3519
(330) 480-3525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479126
—
OH
Enumeration date
02/28/2022
Last updated
10/20/2023
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