Individual
MRS. ALEXANDRA OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
901 LANCASTER AVE, BERWYN, PA 19312-1710
(484) 995-2622
Mailing address
901 LANCASTER AVE, BERWYN, PA 19312-1710
(484) 995-2622
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP014882
PA
363LG0600X
Gerontology Nurse Practitioner
SP014882
PA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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