Alice Norene Ottenstroer

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

MN027816001445 Issued in MN

Practice address

12443 90TH Ave N
Maple Grove, MN 55369-6540

Phone

(612) 283-3409

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1144073669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12443 90TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696540",
            "telephone_number": "612-283-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 90TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696540",
            "telephone_number": "612-283-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENSTROER",
        "first_name": "ALICE",
        "middle_name": "NORENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MN",
            "license": "MN027816001445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Osborne
• Osseo Area Schools
• Kathryn Ossowski, PHARM.D.
• Itzel Osuna
• Lisa Ott, M.S., BCBA
• Tegan Otto, PT, DPT
• Ryland Vaughn Overing
• Lisa Marie Owens
• Grace Page-Teah
• Mitchell Lee Page, DDS, MS

• Nurse's Aide in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Nurse's Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.