Individual
MELODY OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 491-0644
Mailing address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-3621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000867
SD
Other
Enumeration date
07/07/2014
Last updated
03/22/2022
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