June Latisha-ann Ottley CRNP

NPI 1083956437 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1083956437
Gender Female
Enumeration Date 03/25/2013
Last Updated 03/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
3601 ODONNELL ST
BALTIMORE MD, 21224-5238, US
Phone (443) 324-9312
Fax (410) 537-8927
Business Location
8044 IANS ALY
LAUREL MD, 20724-6133, US
Phone (240) 431-1525
Fax
Toxanomy
Taxonomy Code 363L00000X
License State DO Columbia
License Number RN1022763
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According to our database, Ms. June Latisha-ann Ottley CRNP NPI is 1083956437, taxonomy code is 363L00000X and license number is RN1022763, license state is located at DO Columbia. June Latisha-ann Ottley CRNP physically located at 3601 Odonnell St, Baltimore MD, 21224-5238. NPI Number June Latisha-ann Ottley CRNP has the Individual type.

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1083956437 NPI number is provided on an as is basis without warranty of any kind. 1083956437 is maintained by the National Plan & Provider Enumeration System. The contents of June Latisha-ann Ottley CRNP are for informational purposes only.