Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.0027366 | OH |
NPI | 1033708771 |
---|---|
Provider Name | Karen Otten |
First Address | Cincinnati, OH 45233-4587 |
Second Address | Cincinnati, OH 45233-4587 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2021 |
Last Update Date | 17/01/2021 |