Individual provider · Type 1 NPI
Annette Bennett-Otto
Nurse Practitioner · Waukesha, WI
Practice location
2717 N Grandview Blvd
Waukesha, WI 53188-1672
Fax (262) 513-0707
Mailing address
W532 Rome Oak Hill Rd
Palmyra, WI 53156-9729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 8381-33 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1073067583
Annette Bennett-Otto's National Provider Identifier is 1073067583, issued on Aug 12, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waukesha, WI. The record was last updated on Jan 19, 2022.