Individual
DEBRA LYNN OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC FAMILY NURSE
Contact information
Practice address
1801 DOLPHIN DR, WAUKESHA, WI 53186
(262) 953-8566
(262) 446-0388
Mailing address
18650 YORKSHIRE LANE, BROOKFIELD, WI 53045
(262) 781-2192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1342033
WI
Other
Enumeration date
11/20/2006
Last updated
01/03/2017
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