Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 203184 | TN |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 240540-9 | MN |
N | 363LA2100X | Nurse Practitioner - Acute Care | 282690 | NC |
NPI | 1013386994 |
---|---|
Provider Name | Lindsay Otte |
First Address | Minneapolis, MN 55454-1450 |
Second Address | Minneapolis, MN 55454-1450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2015 |
Last Update Date | 20/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013386994 | (05) | NC |
NP3496 | (05) | SC |