Individual
LEANN ROSE OTTOMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
168 LAKE ST S, FOREST LAKE, MN 55025-4401
(651) 226-8338
Mailing address
4498 ROSEMARY WAY UNIT 6, HUGO, MN 55038-6013
(651) 226-8438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7155
MN
Other
Enumeration date
02/23/2020
Last updated
06/19/2023
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