Individual
DR. ASHLEY NICOL OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1440 E MULLAN AVE, POST FALLS, ID 83854-9064
(208) 625-4900
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
51779
ID
163W00000X
Registered Nurse
RN60618195
WA
363L00000X
Nurse Practitioner
72738
ID
363LF0000X
Family Nurse Practitioner
Primary
72738
ID
Other
Enumeration date
05/22/2022
Last updated
07/28/2025
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