Individual
ROHAN SUZANNE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
10506 MONTGOMERY RD, MONTGOMERY, OH 45242-4487
(513) 853-9000
Mailing address
10506 MONTGOMERY RD STE 304, MONTGOMERY, OH 45242-4400
(513) 853-9000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP.025746
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.025746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
05
—
3125746
—
OH
Enumeration date
09/07/2021
Last updated
12/04/2024
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