Kathleen Marie Otis CRNA

NPI 1164516167 - Registered Nurse - 163W00000X

NPI Details
NPI 1164516167
Gender Female
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
800 IRVING AVE
SYRACUSE NY, 13210-2716, US
Phone (315) 425-4400
Fax
Business Location
313 E WILLOW ST
SYRACUSE NY, 13203-1976, US
Phone (315) 378-4869
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 299913-1
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According to our database, Ms. Kathleen Marie Otis CRNA NPI is 1164516167, taxonomy code is 163W00000X and license number is 299913-1, license state is located at New York. Kathleen Marie Otis CRNA physically located at 800 Irving Ave, Syracuse NY, 13210-2716. NPI Number Kathleen Marie Otis CRNA has the Individual type.

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1164516167 NPI number is provided on an as is basis without warranty of any kind. 1164516167 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Marie Otis CRNA are for informational purposes only.