Organization
SCHOOL OF HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EGLE P OTTO DNP (CERTIFIED NURSE PRACTITIONER)
(651) 808-2640
Entity
Organization
Contact information
Practice address
30165 TERRYLL ST, LINDSTROM, MN 55045-9310
(651) 808-2640
Mailing address
30165 TERRYLL ST, LINDSTROM, MN 55045-9310
(651) 808-2640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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