Individual
EMILY VAN-OTOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2400 BUTLER PIKE, PLYMOUTH MEETING, PA 19462-1411
(610) 941-1291
Mailing address
1500 MARKET ST, 24TH FLOOR- WEST TOWER, PHILA, PA 19102-2100
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SPO14693
PA
363LF0000X
Family Nurse Practitioner
Primary
SP014693
PA
Other
Enumeration date
02/24/2015
Last updated
12/29/2021
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