Roberta Otting, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Clearbrook, MN
NPI 1083981229 · NPPES record last updated Nov 16, 2011
Key facts
- NPI
- 1083981229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R117641-5 (MN)
- Practice address
- 221 3Rd Ave SW
Clearbrook, MN 56634-4241 - Phone
- (218) 776-3508
- Fax
- (218) 776-3507
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R117641-5 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R117641-5 | MN | Yes |
Addresses
Primary practice location
221 3Rd Ave SW
Clearbrook, MN 56634-4241
Mailing address
221 3Rd Ave SW
Clearbrook, MN 56634
Phone (218) 776-3508
Other providers in Clearbrook, MN
- Sheila Erickson
- Wendy Kay Glass
- Home at Heart Care, Inc.
- June Johnson
- Terri Leona Nelson
- Alicia Pataky
- Sanford Health of Northern Minnesota
- Matthew Brian Singh
- Stellher Human Services, Inc.
- The Evangelical Lutheran Good Samaritan Society
All providers in Clearbrook, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.