Individual provider · Type 1 NPI

Kathleen Marie Otis, CRNA

Registered Nurse · Syracuse, NY

NPI number 1164516167 Active

Practice location

800 Irving Ave
Syracuse, NY 13210-2716

Mailing address

313 E Willow St
Syracuse, NY 13203-1976

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X299913-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1164516167

Kathleen Marie Otis, CRNA's National Provider Identifier is 1164516167, issued on Oct 3, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.