Individual
AUSTYN KAY OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1509 N MCEWAN ST, CLARE, MI 48617-1113
(989) 386-8170
(989) 386-8175
Mailing address
617 NAKOMA DR, MIDLAND, MI 48640-2829
(616) 808-6323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704254199
MI
Other
Enumeration date
02/16/2021
Last updated
03/03/2021
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