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Individual

MS. KAYLA MICHELLE OTWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10028859
OR
363LF0000X
Family Nurse Practitioner
103703
WV
363LF0000X
Family Nurse Practitioner
Primary
AP61582976
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0363494
OH
05
1770137580
WV
05
7100616310
KY
Enumeration date
07/30/2019
Last updated
06/18/2026
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