Individual provider · Type 1 NPI
Martha Marie Ottley, REGISTERED NURSE
General Practice Registered Nurse · Lancaster, CA
NPI number
1467973032
Active
Practice location
335 E Avenue I
Lancaster, CA 93535-1916
Fax (661) 524-2950
Mailing address
1644 E Avenue J3
Lancaster, CA 93535-6730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 525795 (CA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1467973032
Martha Marie Ottley, REGISTERED NURSE's National Provider Identifier is 1467973032, issued on Jul 4, 2017. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lancaster, CA. The record was last updated on Jul 4, 2017.