Individual
AMELIA OTTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1810 ELDRON BLVD SE, PALM BAY, FL 32909-6831
(321) 576-0644
(321) 434-7199
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 576-6831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11015905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UC031
MEDICARE HF
FL
Enumeration date
07/27/2009
Last updated
04/11/2025
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